DANEEN LOCKE

SOUTHFIELD, MI
NPI1740314970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: MI  DL003145)
Enumeration Date2007-03-16
Last Update Date2018-02-09
Business Address
DANEEN LOCKE
29355 NORTHWESTERN HWY #200
SOUTHFIELD, MI 48034
Phone number: 248-353-0880
Mailing Address
DANEEN LOCKE
29355 NORTHWESTERN HWY # 302
SOUTHFIELD, MI 48034-1053
Phone number: 248-228-2990