Provider Demographics
NPI:1215721360
Name:DAIEK, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:DAIEK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5261 HARDWOODS DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2737
Mailing Address - Country:US
Mailing Address - Phone:248-330-6943
Mailing Address - Fax:
Practice Address - Street 1:5261 HARDWOODS DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-2737
Practice Address - Country:US
Practice Address - Phone:248-330-6943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty