Individual
ELIZABETH MARIE DEDOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6785 AMBER RIDGE DR, MIDDLEVILLE, MI 49333-8216
(616) 581-1681
Mailing address
6785 AMBER RIDGE DR, MIDDLEVILLE, MI 49333-8216
(616) 581-1681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704240419
MI
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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