MRS. Kimberly Ann Dedyne

NPI #1316302714 in Bridgeport, Michigan

Provider Information

NPI Number: 1316302714
Entity Type: Individual
Name: MRS. Kimberly Ann Dedyne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Dec 29, 2015
Last Updated: Dec 29, 2015

Practice Location

Address: 5137 ELDORADO DR
City: Bridgeport
State: Michigan
ZIP Code: 48722-9529
Phone: (989) 482-4609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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