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1508854860
DIANA ENNES
TAWAS CITY, MI
NPI
1508854860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 4301044652)
Enumeration Date
2005-10-11
Last Update Date
2017-08-07
Business Address
-- DIANA ENNES MD
110 BEECH ST
TAWAS CITY, MI 48763-8314
Phone number: 989-362-9859
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Mailing Address
-- DIANA ENNES MD
PO BOX 779
TAWAS CITY, MI 48764-0779
Phone number: 989-362-9859
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