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Individual

MRS. COURTNEY DANIELLE LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MMS, PA-C, RD, CNSC

Contact information

Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(800) 653-6568
(248) 325-1551
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164007950
IL
363A00000X
Physician Assistant
Primary
5601010680
MI

Other

Enumeration date
02/08/2020
Last updated
09/13/2025
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