Individual
DEANNA R DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4811
Mailing address
PO BOX 672363, DETROIT, MI 48267-2363
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601005568
MEDICAL LICENSE
MI
Enumeration date
07/03/2009
Last updated
02/26/2021
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