Individual
DIANE MARIE ELGHOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
319 W DELAWARE ST, DECATUR, MI 49045-1106
(269) 423-7028
Mailing address
601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301513205
MI
Other
Enumeration date
04/15/2021
Last updated
11/14/2024
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