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Organization

FARMINGTON OBSERVATION MEDICINE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE L KAISER D.O. (PRESIDENT)
(248) 321-7573
Entity
Organization

Contact information

Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
PO BOX 638550, CINCINNATI, OH 45263-8550
(248) 321-7573

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MI

Other

Enumeration date
06/03/2014
Last updated
07/14/2014
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