Individual
MEGHANN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1402 W 14 MILE RD, CLAWSON, MI 48017-1499
(866) 389-2727
Mailing address
625 KINGSLEY TRL, BLOOMFIELD HILLS, MI 48304-2320
(781) 223-0042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704291582
MI
Other
Enumeration date
11/04/2015
Last updated
04/18/2016
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