Individual
DENISE MARIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4902 S CEDAR ST, LANSING, MI 48910-5474
(517) 394-7869
Mailing address
2150 HERITAGE AVE, OKEMOS, MI 48864-3614
(231) 740-6000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101011812
MI
207V00000X
Obstetrics & Gynecology Physician
60092
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4262657
—
MI
Enumeration date
07/03/2006
Last updated
12/23/2016
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