Individual
CASEY MARIE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-3476
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704306658
MI
Other
Enumeration date
01/27/2022
Last updated
06/09/2022
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