Provider Demographics
NPI:1407958887
Name:HUGHES, DAWN C (MD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:C
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13355 E TEN MILE ROAD
Mailing Address - Street 2:SUITE 229
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089
Mailing Address - Country:US
Mailing Address - Phone:586-758-6263
Mailing Address - Fax:586-758-7725
Practice Address - Street 1:13355 E TEN MILE ROAD
Practice Address - Street 2:SUITE 229
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48089
Practice Address - Country:US
Practice Address - Phone:586-758-6263
Practice Address - Fax:586-758-7725
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301064345207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIBH4152651Medicare UPIN