Individual
MRS. DEBORAH KATHLEEN NOBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30575 WOODWARD AVE, ROYAL OAK, MI 48073
(248) 280-8550
Mailing address
20700 N MILES ST, CLINTON TOWNSHIP, MI 48036-1938
(586) 214-2472
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601007631
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740646447
—
MI
Enumeration date
01/11/2016
Last updated
06/26/2018
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