Individual
STEPHANIE DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16826 NEWBURGH RD, LIVONIA, MI 48154
(734) 464-8400
Mailing address
1377 BEECH ST, PLYMOUTH, MI 48170-2005
(313) 608-8458
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301092776
MI
207R00000X
Internal Medicine Physician
4301092776
MI
Other
Enumeration date
07/09/2008
Last updated
07/16/2020
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