# DIANE C BIGHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972561108
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 14002 | ND | Yes |
| 208800000X | Urology Physician | 5101014782 | MI | — |
| 208800000X | Urology Physician | LT14002 | ND | — |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 12/20/2023
