Provider Demographics
NPI:1730536343
Name:DIEHL, AURORE CHARON
Entity type:Individual
Prefix:MS
First Name:AURORE
Middle Name:CHARON
Last Name:DIEHL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1098 BEACONSFIELD AVE APT 2S
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48230-2012
Mailing Address - Country:US
Mailing Address - Phone:313-461-6944
Mailing Address - Fax:
Practice Address - Street 1:1098 BEACONSFIELD AVE APT 2S
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE PARK
Practice Address - State:MI
Practice Address - Zip Code:48230-2012
Practice Address - Country:US
Practice Address - Phone:313-461-6944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other