DIANE M VISICH

MOUNT PLEASANT, MI
NPI1023048055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003226)
Enumeration Date2006-07-04
Last Update Date2008-08-07
Business Address
-- DIANE M VISICH PA
211 S CRAPO ST SUITE A
MOUNT PLEASANT, MI 48858-2961
Phone number: 989-775-3823
Mailing Address
-- DIANE M VISICH PA
PO BOX 994
ALMA, MI 48801-0994
Phone number: 989-775-7641