Braswell Drue Deen MD

NPI 1003810839 - Family Medicine - 207Q00000X

NPI Details
NPI 1003810839
Gender Male
Enumeration Date 06/09/2005
Last Updated 02/24/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
SOUTHFIELD MI, 48075-4825, US
Phone (248) 849-3441
Fax (248) 849-5389
Business Location
15990 W 9 MILE RD
SOUTHFIELD MI, 48075-4826, US
Phone (248) 849-4226
Fax (248) 849-4240
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301064835
Remove 1003810839 NPI Number

According to our database, Braswell Drue Deen MD NPI is 1003810839, taxonomy code is 207Q00000X and license number is 4301064835, license state is located at Michigan. Braswell Drue Deen MD physically located at 22250 Providence Dr, Southfield MI, 48075-4825. NPI Number Braswell Drue Deen MD has the Individual type.

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1003810839 NPI number is provided on an as is basis without warranty of any kind. 1003810839 is maintained by the National Plan & Provider Enumeration System. The contents of Braswell Drue Deen MD are for informational purposes only.