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NPI Code Detail

MEDICARE: DIAMOND MICHELLE STOCKER

MEDICARE:   DIAMOND MICHELLE STOCKER
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1093399768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAMOND MICHELLE STOCKER
Provider Business Mailing Address
First Line : 32100 TELEGRAPH RD STE 205
Second Line :
City : BINGHAM FARMS
State : MI
Zip : 48025-2454
Country : US
Telephone Number : 248-712-4266
Fax Number :
Provider Business Practice Location Address
First Line : 1321 S LINDEN RD STE B
Second Line :
City : FLINT
State : MI
Zip : 48532-3440
Country : US
Telephone Number : 248-221-2573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 09/12/2022

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Directions to “ DIAMOND MICHELLE STOCKER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.