Individual
DIANE LYNN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 E CANFIELD ST, GENERAL MEDICINE AMBULATORY PRACTICE, DETROIT, MI 48201-1804
(313) 745-4525
(313) 966-7305
Mailing address
1560 E MAPLE ROAD, SUITE 400- CREDENTIALING, TROY, MI 48083-1138
(313) 745-4525
(331) 396-6730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301046192
MI
Other
Enumeration date
06/01/2006
Last updated
02/05/2016
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