Individual
JEREMY DAVID DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
(313) 561-5100
(313) 565-0309
Mailing address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
(313) 561-5100
(313) 565-0309
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
06/13/2025
Last updated
06/16/2025
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