Individual
DEANA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46012 CONDOR AVE, SHELBY TOWNSHIP, MI 48317-5304
(586) 904-1447
Mailing address
46012 CONDOR AVE, SHELBY TOWNSHIP, MI 48317-5304
(586) 904-1447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704369456
MI
Other
Enumeration date
10/11/2022
Last updated
12/09/2024
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