Individual
DIANA ENNES
Active
Individual
DIANA ENNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301044652
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3370220
—
MI
Enumeration date
10/11/2005
Last updated
08/07/2017
Update your record
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