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DIANNE KAY TRUDELL MD NPI 1285800268


NPI Information

NPI: 1285800268
Provider Name: DIANNE KAY TRUDELL, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
5085 W BRISTOL RD
FLINT, MI
ZIP 48507
Phone: (810) 230-2400
Get Directions

DIANNE KAY TRUDELL, MD is a rheumatology internal medicine in Flint, MI. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DIANNE KAY TRUDELL, MD NPI is 1285800268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5085 W BRISTOL RD
FLINT, MI
ZIP 48507-922
Phone: (810) 230-2400
Fax: (810) 230-1616

The provider's authorized official is Kristen Sopko .
The authorized official title is Office Manager and has the following contact phone number (810) 230-1790.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 3/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyDT048800MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11102511962OTHERMICHIGANBCBS PIN
24092874OTHERMICHIGANAETNA
3E38039OTHERMICHIGANUPIN
41996631MEDICAIDMICHIGAN
51826025002OTHERMICHIGANGENESEE HEALTH PLAN
6C1542OTHERMICHIGANMCARE
70250291MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.