Individual
DIANA VENTIMIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 15 MILE RD # RR, STERLING HEIGHTS, MI 48310-5353
(586) 977-8990
Mailing address
20769 E 13 MILE RD, ROSEVILLE, MI 48066-4503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704314036
MI
Other
Enumeration date
10/22/2019
Last updated
08/14/2022
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