Provider Information for 1154827731
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DAYNA MARIE MACHUTA
Other Names:Former Name:DAYNA MARIE CHOUINARDSex: Female
NPI: 1154827731
Last Updated: 2024-11-18
Certification Date: 2024-11-18
Certification Date: 2024-11-18
Details
| Name | Value | ||||||||||||
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| NPI | 1154827731 | ||||||||||||
| Enumeration Date | 2018-04-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 6038 US HIGHWAY 31 GRAWN, MI 49637-9676 United States Phone: 231-632-0080 | Fax: | ||||||||||||
| Primary Practice Address | 955 E COMMERCE DR TRAVERSE CITY, MI 49685-9361 United States Phone: 231-632-0080 | Fax: | ||||||||||||
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