| Doctor Name: | DEAN PRICE |
| NPI Number: | 1043448434 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 4704204291 |
| Business Practice Address: | 2122 Health Drive Sw Suite 100 Wyoming, MI - 495199698 |
| Business Phone Number: | 6162527494 |
| Business Fax Number: | 6162527830 |
| Mailing Address: | 985 Gezon Pkwy Sw, Attn: Teresa Mcnally WYOMING |
| State: | MI |
| Postal Code: | 495099563 |
| Phone Number: | 6162524655 |
| Fax Number: | 6162520103 |
| NPI Enumeration Date: | 06/24/2009 |
| NPI Last Update Date: | 11/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704204291 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |