Individual
MRS. DAWN MICHELLE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP-C ACHPN
Contact information
Practice address
2372 KRONNER RD, COLUMBUS, MI 48063-3404
(810) 300-0323
Mailing address
2372 KRONNER RD, COLUMBUS, MI 48063-3404
(810) 300-0323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704213611
MI
Other
Enumeration date
11/11/2017
Last updated
04/24/2023
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