Individual
DR. DIANE L. HALLINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 257-9429
(810) 257-9104
Mailing address
422 W 4TH AVE, FLINT, MI 48503-2404
(810) 496-5777
(810) 496-5798
Taxonomy
Speciality
Code
Description
License number
State
193200000X
Multi-Specialty Group
Primary
SA0250385
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301059413
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B51090
BLUE SHIELD
MI
05
—
3427485
—
MI
Enumeration date
10/11/2006
Last updated
11/20/2015
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