Individual
JILIAN DANITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
Mailing address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101016376
MI
Other
Enumeration date
05/17/2007
Last updated
10/20/2015
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