DEANNA S MASTER MD PC NPI 1275963019

NPI Information

DEANNA S MASTER MD PC is a primary care clinic center in Novi, MI. DEANNA S MASTER MD PC NPI is 1275963019. The provider is registered as an organization entity type.

The provider's business location address is:

24110 MEADOWBROOK RD
SUITE #100
NOVI, MI
ZIP 48375-459
Phone: (248) 987-1119
Fax: (248) 987-1118

The provider's authorized official is Deanna Susan Master .
The authorized official title is President and has the following contact phone number (248) 380-2868.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 2/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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