Individual
LAWRENCE N DIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4160 JOHN R STE 615, HARPER PROFESSIONAL BLDG, DETROIT, MI 48201
(313) 745-4195
(313) 993-8669
Mailing address
1560 E. MAPLE RD., SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 745-4195
(313) 993-8669
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301046968
MI
2086S0102X
Surgical Critical Care Physician
4301046968
MI
Other
Enumeration date
06/07/2006
Last updated
04/04/2017
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