License Directory

Theresa Marie Dierker

Active

Michigan license 5101027062

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
5101027062
Status
Active
First issued
July 26, 2022
Expires
July 26, 2028
License holder
Theresa Marie Dierker
Entity type
Individual

Classifications

Contact

Corewell Health Primary Care - St. Clair Shores
25631 Little Mack Ave #103
St. Clair Shores, MI 48081
Macomb County