Individual
ELLEN DOENITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
684 S EVERGREEN ST, PLYMOUTH, MI 48170-2008
(734) 634-9325
Mailing address
684 S EVERGREEN ST, PLYMOUTH, MI 48170-2008
(734) 634-9325
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-15292
MI
Other
Enumeration date
12/26/2015
Last updated
12/26/2015
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