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Individual

DIANE C SCRIBNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
239 N. STATE RD, SUITE A,, OWOSSO, MI 48867
(989) 729-4848
(989) 729-4849
Mailing address
501 LAPEER, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003092
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080G310660
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
175811
GREAT LAKES HEALTH PLAN OF MICHIGAN
MI
01
381908328
TRICARE
01
381908328-433
CARE SOURCE OF MICHIGAN
MI
01
54507
HEALTH PLAN OF MICHIGAN
MI
Enumeration date
09/02/2006
Last updated
03/14/2011
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