Provider Demographics
NPI:1508305475
Name:IRWIN, DAWN MARIE
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARIE
Last Name:IRWIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 CHIPPAWA DR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49094-9745
Mailing Address - Country:US
Mailing Address - Phone:517-617-3905
Mailing Address - Fax:
Practice Address - Street 1:1145 CHIPPAWA DR
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:MI
Practice Address - Zip Code:49094-9745
Practice Address - Country:US
Practice Address - Phone:517-617-3905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner