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NPI Code Detail

MEDICARE: DAWN RENEE DARLAND BS

MEDICARE: DAWN RENEE DARLAND BS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1952953143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN RENEE DARLAND BS
Provider Business Mailing Address
First Line : 4313 CASTLE DR
Second Line :
City : MIDLAND
State : MI
Zip : 48640-3489
Country : US
Telephone Number : 989-909-0501
Fax Number :
Provider Business Practice Location Address
First Line : 1705 S SAGINAW RD
Second Line :
City : MIDLAND
State : MI
Zip : 48640-5633
Country : US
Telephone Number : 989-835-4041
Fax Number : 989-835-8121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2019
Last Update Date : 07/09/2019

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