Individual
CATHRYN VAN DUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
24255 W 13 MILE RD, BINGHAM FARMS, MI 48025-4320
(248) 723-9613
Mailing address
2295 N FAIRVIEW LN, ROCHESTER HILLS, MI 48306-3931
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704302879
MI
Other
Enumeration date
02/15/2021
Last updated
03/30/2021
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