LISA DIETZ

CLARKSTON, MI
NPI1629067541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  LD011820)
Enumeration Date2005-10-14
Last Update Date2013-02-19
Business Address
-- LISA DIETZ DO
6507 TOWN CENTER DR SUITE A
CLARKSTON, MI 48346-4826
Phone number: 248-922-9975
Mailing Address
-- LISA DIETZ DO
6507 TOWN CENTER DR SUITE A
CLARKSTON, MI 48346-4826
Phone number: 248-922-9975
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