Organization
DIANE L SACCHETTI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE L SACCHETTI (OWNER)
(313) 278-7100
Entity
Organization
Contact information
Practice address
1611 MONROE ST, DEARBORN, MI 48124-2912
(313) 278-7100
(313) 562-2216
Mailing address
1611 MONROE ST, DEARBORN, MI 48124-2912
(313) 278-7100
(313) 562-2216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DS048409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110018813
RAILROAD MEDICARE
—
01
—
110H233050
BCBS OF MI
—
Enumeration date
01/31/2008
Last updated
08/18/2008
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