Individual
DR. DIANA C SOULIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23800 ORCHARD LAKE RD, STE 100, FARMINGTON HILLS, MI 48336-2561
(248) 476-2420
(248) 476-9709
Mailing address
23800 ORCHARD LAKE RD, STE 100, FARMINGTON HILLS, MI 48336-2561
(248) 476-2420
(248) 476-9709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DS055904
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0634321
BCBS
MI
01
—
080062245
MEDICARE RAILROAD
MI
01
—
103514
CARE CHOICES PREFERRED CH
—
05
—
2951760
—
MI
01
—
C3313
MCARE
—
Enumeration date
03/24/2006
Last updated
01/11/2010
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