Baranowski, Diane L

Baranowski, Diane L is an individual health care provider with primary practice located at 19855 Outer Dr Ste 204, Dearborn MI 48124-2022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, which is considered as her primary health care specialty. Baranowski, Diane L can be contacted via phone (313) 565-3565.

Contact Information

Primary practice address
19855 Outer Dr Ste 204 Dearborn MI 48124-2022
Phone: (313) 565-3565
Fax: (313) 565-7723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X 4301051685 Michigan

Profile Details

NPI number 1750359204
LBN Legal business name Baranowski, Diane L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 22nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750359204 NPPES
Michigan Other 0H26340 BLUE CROSS
Michigan MEDICAID 2838806 BLUE CROSS

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