Diane K Conrad, M.D.

NPI #1578504262 in Bryan, Ohio

Provider Information

NPI Number: 1578504262
Entity Type: Individual
Name: Diane K Conrad, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 10, 2006
Last Updated: May 19, 2008

Practice Location

Address: 442 W HIGH ST
City: Bryan
State: Ohio
ZIP Code: 43506-1681
Phone: (419) 636-4517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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