Stoller, Diane

Stoller, Diane is an individual health care provider with primary practice located at 707 Sandra Ct , Dearborn Heights MI 48127-4137. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Stoller, Diane can be contacted via phone (313) 274-5061.

Contact Information

Primary practice address
707 Sandra Ct Dearborn Heights MI 48127-4137
Phone: (313) 274-5061
Fax: (248) 357-0915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704091295 Michigan

Profile Details

NPI number 1831131978
LBN Legal business name Stoller, Diane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1831131978 NPPES
Michigan Other DS091295 BCBSM NUMBER

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