Individual
CHARLETTA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8303 PLATT RD., SALINE, MI 48176
(734) 295-4428
Mailing address
8303 PLATT RD, SALINE, MI 48176-9773
(734) 295-4428
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301099414
MI
Other
Enumeration date
07/11/2011
Last updated
01/08/2016
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