Individual
MEGAN DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17141 KERCHEVAL AVE, GROSSE POINTE, MI 48230-1660
(313) 642-4980
Mailing address
29385 PALOMINO DR, WARREN, MI 48093-3564
(231) 883-4589
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501301829
MI
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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