Individual
MICHAEL E DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17541 E 10 MILE RD, ROSEVILLE, MI 48066-4406
(586) 456-7894
(786) 908-6564
Mailing address
17541 E 10 MILE RD, ROSEVILLE, MI 48066-4406
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
383242727
MI
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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