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NPI Code Detail

MEDICARE: MR. SAVA DIAKANTONIS

MEDICARE: MR. SAVA DIAKANTONIS
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
1183500000XPharmacist5302031005MI

General Provider Information

NPI Number : 1467862862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SAVA DIAKANTONIS
Provider Business Mailing Address
First Line : 4216 MERRIMAN LOOP
Second Line :
City : HOWELL
State : MI
Zip : 48843-5212
Country : US
Telephone Number : 517-552-5246
Fax Number :
Provider Business Practice Location Address
First Line : 6001 HIGHLAND RD
Second Line :
City : WHITE LAKE
State : MI
Zip : 48383-4302
Country : US
Telephone Number : 248-889-6810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2014
Last Update Date : 05/07/2014

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Directions to “ MR. SAVA DIAKANTONIS ” Practice Location

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