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Individual

MR. BERNARD DIEDRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-1687
(877) 407-2500
Mailing address
1650 AVONDALE AVE, ANN ARBOR, MI 48103-5772

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
52010001801

Other

Enumeration date
11/30/2006
Last updated
07/08/2007
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