Provider Demographics
NPI:1053378034
Name:CULIK, DIANE ALICE (MD)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:ALICE
Last Name:CULIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2644 FLORLEN AVE NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-3968
Mailing Address - Country:US
Mailing Address - Phone:313-443-1306
Mailing Address - Fax:888-480-3870
Practice Address - Street 1:2644 FLORLEN AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-3968
Practice Address - Country:US
Practice Address - Phone:855-669-9355
Practice Address - Fax:888-480-3870
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2023-01-03
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Provider Licenses
StateLicense IDTaxonomies
MI038399207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine