Individual
ANTONIO LIRA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
1350 W BETHUNE ST APT 1606, DETROIT, MI 48202-2665
(313) 402-7608
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4351053238
MI
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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