Deen, Braswell Drue

Deen, Braswell Drue is an individual health care provider with primary practice located at 22250 Providence Dr 5Th Floor.Fl 5, Southfield MI 48075-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deen, Braswell Drue can be contacted via phone (248) 849-3441.

Contact Information

Primary practice address
22250 Providence Dr 5Th Floor.Fl 5 Southfield MI 48075-4825
Phone: (248) 849-3441
Fax: (248) 849-5389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301064835 Michigan

Profile Details

NPI number 1003810839
LBN Legal business name Deen, Braswell Drue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003810839 NPPES
Michigan MEDICAID 339549910

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