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Individual

DIANA S KADDOUH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6300 N HAGGERTY RD STE 220, CANTON, MI 48187-4472
(734) 365-6804
(734) 365-6804
Mailing address
6300 N HAGGERTY RD STE 220, CANTON, MI 48187-4472
(734) 365-6804
(734) 365-6804

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704399875
MI

Other

Enumeration date
09/23/2025
Last updated
10/21/2025
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