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NPI Code Detail

MEDICARE: DIANNA L BOYER M.D.

MEDICARE:   DIANNA L BOYER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician01036057AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21033110564OTHERINGROUP NPI NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013919695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNA L BOYER M.D.
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 10701 ALLIANCE DR STE A
Second Line :
City : CAMBY
State : IN
Zip : 46113-8837
Country : US
Telephone Number : 317-856-7083
Fax Number : 317-856-7332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 03/22/2023

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Directions to “ DIANNA L BOYER M.D.” Practice Location

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