Organization
DIAB & KINNER INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLANN KIM KINNER D.O. (PHYSICIAN)
(586) 558-4081
Entity
Organization
Contact information
Practice address
29703 HOOVER RD, SUITE A, WARREN, MI 48093-2544
(586) 558-4081
(586) 558-4099
Mailing address
29703 HOOVER RD, SUITE A, WARREN, MI 48093-8901
(586) 558-4081
(586) 558-4099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110E013380
BCBSM
MI
01
—
1316097942
HAP
MI
05
—
1316097942
—
MI
Enumeration date
01/12/2007
Last updated
02/28/2014
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