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DIANA DALE FIELDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
(810) 392-2057
Mailing address
1556 CAPAC RD, BERLIN, MI 48002-2400
(810) 395-2661

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703093798
MI

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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