Individual
MS. MONICA M DIMAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 OLD EARHART RD STE 195, ANN ARBOR, MI 48105-2963
(734) 615-9200
(734) 615-9205
Mailing address
585 SOUTH BLVD E STE 100, PONTIAC, MI 48341-3163
(248) 206-1200
(734) 615-9505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301065992
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3469117
—
MI
Enumeration date
10/11/2006
Last updated
04/22/2020
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