Individual
DIANE RENEE TRAENKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1621 E BROOMFIELD ST, SUITE B, MOUNT PLEASANT, MI 48858-5427
(989) 772-3009
(989) 772-9301
Mailing address
1621 E BROOMFIELD ST, SUITE B, MT PLEASANT, MI 48858-5427
(989) 772-3009
(989) 772-0568
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101011733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0953701185
BCBSM
MI
01
—
1017077
MCLAREN HEALTH PLAN
MI
05
—
4824793-11
—
MI
Enumeration date
06/28/2006
Last updated
09/06/2012
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