Individual
DIANA FRANCES TEASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 APRILL DR, ANN ARBOR, MI 48103-1956
(734) 212-6891
Mailing address
20056 LEZOTTE DR, ROCKWOOD, MI 48173-8621
(734) 787-9229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704254078
MI
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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