Individual
DIANA BURMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29275 NORTHWESTERN HWY, STE 100, SOUTHFIELD, MI 48034-1044
(877) 784-3667
(248) 784-3743
Mailing address
29275 NORTHWESTERN HWY, STE 100, SOUTHFIELD, MI 48034-1044
(877) 784-3667
(248) 784-3743
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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