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Individual

DIANA BURMEISTER

Active
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Individual

DIANA BURMEISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
364SN0800X
Neuroscience Clinical Nurse Specialist
Primary
5601002920
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5601002920
LICENSE
MI
Enumeration date
07/09/2006
Last updated
12/20/2012
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