Individual
DR. MICHAEL GERALD DIETERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
100190-851
WI
207R00000X
Internal Medicine Physician
Primary
84330-20
WI
Other
Enumeration date
04/05/2022
Last updated
08/28/2024
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