NPI 1033150230

Leonora Diaz, MD

Practitioner General Practice Physician Kentwood, MI

Practice location

Address: 4695 Quaker Hill Dr SE, Kentwood, MI 49512-8412
Phone: (787) 565-3917

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 4301067020 (MI)

Other General Practice providers in Michigan →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 6136 (PR)

Registry record

NPI: 1033150230
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2006
Record last updated: 30 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.