Diane Dwyer

NPI #1033569272 in Caledonia, Michigan

Provider Information

NPI Number: 1033569272
Entity Type: Individual
Name: Diane Dwyer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 19, 2016
Last Updated: Jun 19, 2016

Practice Location

Address: 7369 OLD LANTERN DR SE
City: Caledonia
State: Michigan
ZIP Code: 49316-9004
Phone: (616) 890-7177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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