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NPI Code Detail

MEDICARE: DENNIS C TREECE D.O.

MEDICARE: DENNIS C TREECE D.O.
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 Physician5101008494MI

General Provider Information

NPI Number : 1679544852
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS C TREECE D.O.
Provider Business Mailing Address
First Line : 19460 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48223-1200
Country : US
Telephone Number : 313-387-1097
Fax Number : 313-387-8795
Provider Business Practice Location Address
First Line : 19460 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48223-1200
Country : US
Telephone Number : 313-387-1097
Fax Number : 313-387-8795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 07/08/2007

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Directions to “ DENNIS C TREECE D.O.” Practice Location

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