Individual
DIANE L BARANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19855 OUTER DR, STE 204, DEARBORN, MI 48124-2022
(313) 565-3565
(313) 565-7723
Mailing address
19855 OUTER DR, STE 204, DEARBORN, MI 48124-2022
(313) 565-3565
(313) 565-7723
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
4301051685
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H26340
BLUE CROSS
MI
05
—
2838806
—
MI
Enumeration date
03/10/2006
Last updated
06/22/2015
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