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NPI Code Detail

MEDICARE: DENISE MARIE WARREN DO

MEDICARE: DENISE MARIE WARREN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician5101011812MI
22083A0300XAddiction Medicine (Preventive Medicine) Physician5101011812MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891725214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE MARIE WARREN DO
Provider Business Mailing Address
First Line : 4262 AZTEC WAY
Second Line :
City : OKEMOS
State : MI
Zip : 48864-5207
Country : US
Telephone Number : 231-740-6000
Fax Number :
Provider Business Practice Location Address
First Line : 4902 S CEDAR ST
Second Line :
City : LANSING
State : MI
Zip : 48910-5474
Country : US
Telephone Number : 517-394-7869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 05/21/2026

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