Individual
JULIUS EDWARD DENINA CANTUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
40600 ANN ARBOR RD E STE 201, PLYMOUTH, MI 48170-4675
(574) 546-1900
(574) 546-1999
Mailing address
1254 CLARION CIR, ROCHESTER HILLS, MI 48307-3641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704354153
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704354153
MI
Other
Enumeration date
10/25/2023
Last updated
08/14/2024
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