Individual
DANEEN LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29355 NORTHWESTERN HWY, #200, SOUTHFIELD, MI 48034
(248) 353-0880
Mailing address
29355 NORTHWESTERN HWY, # 302, SOUTHFIELD, MI 48034-1053
(248) 228-2990
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
DL003145
MI
Other
Enumeration date
03/16/2007
Last updated
02/09/2018
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