Most Relevant Information
Provider Data
| NPI Number: | 1003806688 |
| Provider Name: | DIANNE JUNIOR NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704195342 |
Most Important Dates
| Enumeration Date: | 10/25/2005 |
| Last Updated: | 02/20/2024 |
Provider Practice Location
G3525 S SAGINAW ST
BURTON
MI
485291260
Practice Location Phone/Fax
| Phone: | 8102223040 |
| Fax: |
Provider Mailing Location
5005 WYNDEMERE SQ
SWARTZ CREEK
MI
484738891
Provider Mailing Phone/Fax
| Phone: | 8106555103 |
| Fax: |