Individual
BENJAMIN JOHN DIACZOK I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44428 WOODWARD AVE STE 102, PONTIAC, MI 48341-5009
(248) 858-3126
(248) 858-6499
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301050499
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348812110
—
MI
01
—
4301050499
CONTROLLED SUBSTANCE
MI
Enumeration date
07/12/2005
Last updated
04/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us