Diane M Visich, PA

NPI #1023048055 in Mount Pleasant, Michigan

Provider Information

NPI Number: 1023048055
Entity Type: Individual
Name: Diane M Visich, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 4, 2006
Last Updated: Aug 7, 2008

Practice Location

Address: 211 S CRAPO ST
Address 2: SUITE A
City: Mount Pleasant
State: Michigan
ZIP Code: 48858-2961
Phone: (989) 775-3823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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