Individual
LYNNE FRANCES DIETERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
43455 SCHOENHERR RD, STE 2, STERLING HEIGHTS, MI 48313-1972
(586) 726-4823
(586) 726-8365
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004318
MI
Other
Enumeration date
04/03/2009
Last updated
07/15/2022
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