Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deanna Mason, IDC

Individual provider Independent Duty Corpsman · NPI 1164818316

Deanna Mason, IDC is an Independent Duty Corpsman in Hamtramck, Michigan. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

12075 Saint Aubin St
Hamtramck, MI 48212-2626
Phone: (313) 405-4204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1164818316
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorYes
NPI enumeratedApril 14, 2015
Last updated in NPPESApril 14, 2015