Individual
DR. HEIDI LYNN DIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
400 S MAPLE RD, KROGER PHARMACY ATTN: HEIDI DIEZ, ANN ARBOR, MI 48103-3835
(734) 213-5343
Mailing address
5629 VERSAILLES AVE, ANN ARBOR, MI 48103-9084
(734) 929-4156
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302033123
MI
183500000X
Pharmacist
PH00057161
WA
Other
Enumeration date
11/29/2005
Last updated
10/18/2007
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