Most Relevant Information
Provider Data
NPI Number: | 1003259045 |
Provider Name: | MARIA DIAB |
Entity Type: | Individual |
Taxonomy Code: | 207RH0003X |
Specialty: | Internal Medicine |
License Number: | 85005 |
Most Important Dates
Enumeration Date: | 04/09/2013 |
Last Updated: | 12/22/2022 |
Provider Practice Location
2799 W GRAND BLVD
DETROIT
MI
482022608
Practice Location Phone/Fax
Phone: | 8006536568 |
Fax: | 3138761305 |
Provider Mailing Location
1 FORD PL STE 3A
DETROIT
MI
482023450
Provider Mailing Phone/Fax
Phone: | 1387448063 |
Fax: | 3138761305 |