Individual
FERNANDO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 W 13 MILE RD STE N220, ROYAL OAK, MI 48073-6710
(248) 784-3667
(248) 869-3982
Mailing address
1427 KIRKWAY RD, BLOOMFIELD HILLS, MI 48302-1318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301040395
MI
207T00000X
Neurological Surgery Physician
4301040395
MI
Other
Enumeration date
09/27/2005
Last updated
03/27/2025
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