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1518037878
DOUGLAS R DIEMER
PORTAGE, MI
NPI
1518037878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004477)
Enumeration Date
2006-11-08
Last Update Date
2022-08-30
Business Address
DOUGLAS R DIEMER PA-C
3200 W CENTRE AVE SUITE 203
PORTAGE, MI 49024-4889
Phone number: 269-324-0799
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Mailing Address
DOUGLAS R DIEMER PA-C
3200 W CENTRE AVE SUITE 203
PORTAGE, MI 49024-4889
Phone number: 269-324-0799
Copy
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