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NPI Code Detail

MEDICARE: DR. DIANE PARSONS M.D.

MEDICARE: DR. DIANE PARSONS 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
1174400000XSpecialist4301405328MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P24420007OTHERMIMEDICARE PART B - WPS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20281046OTHERMIBCBS#
34301405328OTHERMISTATE LICENSE #
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548263395
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE PARSONS M.D.
Provider Business Mailing Address
First Line : 1105 SIXTH ST
Second Line : ATTN: HOME CARE
City : TRAVERSE CITY
State : MI
Zip : 49684-2349
Country : US
Telephone Number : 231-935-6520
Fax Number : 231-935-9116
Provider Business Practice Location Address
First Line : 1105 SIXTH ST
Second Line : ATTN: HOME CARE
City : TRAVERSE CITY
State : MI
Zip : 49684-2349
Country : US
Telephone Number : 231-935-6520
Fax Number : 231-935-9116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/03/2013

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Directions to “ DR. DIANE PARSONS M.D.” Practice Location

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