Individual
DR. RUTH BAUTISTA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4870 W CLARK RD, SUITE 107, YPSILANTI, MI 48197-1104
(734) 434-7260
(734) 434-7607
Mailing address
45 E LEWIS AVE, MILAN, MI 48160-1119
(734) 439-2303
(734) 439-0016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301035476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260817222
BCBSM
MA
Enumeration date
01/24/2007
Last updated
09/09/2021
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