Individual
DIANE M WEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
128 VAN BUREN ST, CHELSEA, MI 48118-1623
(734) 475-8677
(734) 327-0826
Mailing address
PO BOX 446, ANN ARBOR, MI 48106-0446
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
143379
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104425850
—
MI
01
—
DW143379
BLUE SHIELD
MI
Enumeration date
06/27/2006
Last updated
01/19/2018
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