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Individual

JOHN DIDDAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 E MICHIGAN ST, MARQUETTE, MI 49855-3827
(906) 228-6589
Mailing address
425 E MICHIGAN ST, MARQUETTE, MI 49855-3827
(906) 228-6589

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301032322
MI

Other

Enumeration date
07/02/2010
Last updated
07/02/2010
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