Individual
DANA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6004 TORREY RD, FLINT, MI 48507-3800
(810) 908-9523
Mailing address
6004 TORREY RD, FLINT, MI 48507-3800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7501001338
MI
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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