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NPI Code Detail

MEDICARE: MRS. DEBORAH KAY CONLON NP

MEDICARE: MRS. DEBORAH KAY CONLON NP
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
1207Q00000XFamily Medicine Physician4704164104MI

General Provider Information

NPI Number : 1407829302
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH KAY CONLON NP
Provider Business Mailing Address
First Line : 14067 WOODVIEW DR
Second Line :
City : FENTON
State : MI
Zip : 48430
Country : US
Telephone Number : 810-714-5174
Fax Number : 810-714-5174
Provider Business Practice Location Address
First Line : 190 E STATE ST
Second Line :
City : MONTROSE
State : MI
Zip : 48457-9144
Country : US
Telephone Number : 810-639-2056
Fax Number : 810-639-3167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2006
Last Update Date : 02/10/2010

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