Individual
DR. DIANA MARIE CONSTANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30400 TELEGRAPH RD, SUITE 345, BINGHAM FARMS, MI 48025-4537
(248) 593-8390
Mailing address
30400 TELEGRAPH RD, SUITE 345, BINGHAM FARMS, MI 48025-4537
(248) 593-8390
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
041383
MI
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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