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Debra Koch, NNP
Neonatal Nurse Practitioner in Dearborn, Michigan
NPI 1205975281

Debra Koch is a Neonatal Nurse Practitioner based in Southfield, MI and is specialized in Neonatal. Debra Koch practices in Dearborn, MI and has the professional credentials of NNP. The NPI Number for Debra Koch is 1205975281 and holds a License No. 4704143015 (Michigan).

The current practice location address for Debra Koch is 18101 Oakwood Blvd, Dearborn, MI and can be reached out via phone at 313-593-7490.

Location: 18101 Oakwood Blvd, Dearborn, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205975281
Provider Name
Debra Koch
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
18101 Oakwood Blvd, Dearborn, MI, 48033-3849
Phone Number
313-593-7490
Fax Number
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704143015 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
18101 Oakwood Blvd
City
Dearborn
State
Michigan
Zip
48124-4089
Phone Number
313-593-7490
Fax Number
person
Provider Business Mailing Address Details
Address
18101 Oakwood Blvd
City
Dearborn
State
Michigan
Zip
48124-4089
Phone Number
313-593-7490
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
4704143015 (Michigan)
Definition
Definition to come...
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