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Individual
DR. BERNHARD ERIC DIETZ
Active
Individual
DR. BERNHARD ERIC DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27623
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3077257
BC/BS OF TENNESSEE
TN
05
—
3818356
—
TN
01
—
5572559
AETNA
TN
01
—
7864
TLC-MEMPHIS MANAGED CARE
TN
01
—
80121733
METRAHEALTH
TN
Enumeration date
06/13/2005
Last updated
02/10/2021
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