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NPI Code Detail

MEDICARE: DAWN PIASCIK L.L.C.

MEDICARE: DAWN PIASCIK L.L.C.
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
1163WM0102XMaternal Newborn Registered Nurse4704175112MI
2174H00000XHealth Educator4704175112MI

General Provider Information

NPI Number : 1720359847
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAWN PIASCIK L.L.C.
Provider Business Mailing Address
First Line : 68364 S MAIN ST
Second Line :
City : RICHMOND
State : MI
Zip : 48062-1218
Country : US
Telephone Number : 586-430-4075
Fax Number :
Provider Business Practice Location Address
First Line : 68364 S MAIN ST
Second Line :
City : RICHMOND
State : MI
Zip : 48062-1925
Country : US
Telephone Number : 586-430-4075
Fax Number :
Authorized Official
Title or Position : OWNER/EDUCATOR
Name : MS. DAWN LEE PIASCIK
Credential : R.N.B.S.N.,CHT.
Telephone Number : 586-430-4075
Provider Enumeration Date : 01/20/2012
Last Update Date : 07/10/2012

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Directions to “DAWN PIASCIK L.L.C. ” Practice Location

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