Individual
DIANE MEDVED HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7300 DEXTER-ANN ARBOR RD, DEXTER, MI 48130-8598
(734) 426-2796
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301114011
MI
207Q00000X
Family Medicine Physician
46829
KY
207VG0400X
Gynecology Physician
46829
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029147
VT BCBS
VT
01
—
0102841YPNH03
ANTHEM BCBS
—
01
—
0912001
CIGNA
—
05
—
0RE4240
—
VT
05
—
30009968
—
NH
01
—
AA71454
HARVARD PILGRIM
—
Enumeration date
07/21/2006
Last updated
12/14/2018
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