Provider Demographics
NPI:1376769745
Name:HOELSCHER, DIANE CLARE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:CLARE
Last Name:HOELSCHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35241 OLD HOMESTEAD DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1342
Mailing Address - Country:US
Mailing Address - Phone:248-478-1216
Mailing Address - Fax:
Practice Address - Street 1:34051 S GRATIOT AVE
Practice Address - Street 2:STE. 101
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48035-3592
Practice Address - Country:US
Practice Address - Phone:586-791-6655
Practice Address - Fax:586-791-8543
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010154441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice