Individual
DARYL ROBERT DIEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
145 MICHIGAN ST NE, SUITE 4400, GRAND RAPIDS, MI 49503-2562
(616) 391-9945
(616) 486-6346
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704228824
MI
Other
Enumeration date
08/25/2008
Last updated
03/02/2021
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