Search › Michigan › 367500000X
Joanna O'Dacre
NPI 1700512829 · on the registry since 2022
Practice
- Address
- 4755 Forest Ave
Waterford, MI 48328 - Phone
- (248) 202-1187
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan