Lisa Dietz Do Pllc | |
6507 Town Center Dr Ste A Clarkston MI 48346-4826 | |
(248) 992-9975 | |
(248) 992-9143 |
Full Name | Lisa Dietz Do Pllc |
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Speciality | Internal Medicine |
Location | 6507 Town Center Dr, Clarkston, Michigan |
Authorized Official Name and Position | Lisa Grace Dietz (OWNER) |
Authorized Official Contact | 2489929975 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lisa Dietz Do Pllc 6507 Town Center Dr Ste A Clarkston MI 48346-4826 Ph: (248) 992-9975 | Lisa Dietz Do Pllc 6507 Town Center Dr Ste A Clarkston MI 48346-4826 Ph: (248) 992-9975 |
NPI Number | 1447445879 |
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Provider Enumeration Date | 09/10/2007 |
Last Update Date | 09/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447445879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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