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Individual
DIANE MARIE MACDONALD
Active
Individual
DIANE MARIE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301053125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004511
HEALTHPLUS
MI
01
—
1014282
MCLAREN HEALTH PLAN
MI
01
—
1102911631
BCBSM
MI
05
—
1447297742
—
MI
01
—
200000005798
PHP COMMERCIAL
MI
05
—
4711403-10
—
MI
05
—
4711898-10
—
MI
05
—
4711913-10
—
MI
Enumeration date
06/02/2006
Last updated
06/08/2016
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