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Individual

ERIN DIMAMBRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1201 STONE ST, STE 5, PORT HURON, MI 48060-3563
(810) 966-9556
(810) 966-4898
Mailing address
1201 STONE ST, STE 5, PORT HURON, MI 48060-3563
(810) 966-9556
(810) 966-4898

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004781
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5601004781
STATE LICENSE
MI
Enumeration date
07/25/2006
Last updated
11/13/2015
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