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Individual

DENA MAKLED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4301072422
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5601009447
STATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
06/17/2019
Last updated
09/09/2025
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