Diehl, Kathleen M

Diehl, Kathleen M is an individual health care provider with primary practice located at 1500 East Medical Ctr Dr B1 Floor Cancer & Geriatrics Ctr Recp E, Ann Arbor MI 48109-5916. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Diehl, Kathleen M can be contacted via phone (734) 647-8902.

Contact Information

Primary practice address
1500 East Medical Ctr Dr B1 Floor Cancer & Geriatrics Ctr Recp E Ann Arbor MI 48109-5916
Phone: (734) 647-8902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301063978 Michigan
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 4301063978 Michigan

Profile Details

NPI number 1558461509
LBN Legal business name Diehl, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Mar 2nd, 2012 - about 12 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 1558461509 NPPES
Michigan MEDICAID 4319651

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