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Individual

DR. DOUGLAS T DIATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
2 MICHIGAN AVE W, SUITE 200, BATTLE CREEK, MI 49017-3609
(269) 968-9355
(269) 968-9366
Mailing address
2 MICHIGAN AVE W, SUITE 200, BATTLE CREEK, MI 49017-3609
(269) 968-9355
(269) 968-9366

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008317
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95-0-A3-5020-0
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/15/2006
Last updated
11/05/2015
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