Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | DK012332 | MI |
NPI | 1013958016 |
---|---|
Provider Name | Diane L Kaiser |
First Address | Cincinnati, OH 45263 |
Second Address | Farmington Hills, MI 48336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 22/11/2016 |