Individual
DIANNE JUNIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
G3525 S SAGINAW ST, BURTON, MI 48529-1260
(810) 222-3040
Mailing address
5005 WYNDEMERE SQ, SWARTZ CREEK, MI 48473-8891
(810) 655-5103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704195342
MI
Other
Enumeration date
10/25/2005
Last updated
02/20/2024
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