Individual
MR. CHRISTOPHER WAYNE DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8333 NAAB RD, SUITE 250, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 396-1346
Mailing address
8333 NAAB RD, SUITE 250, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 396-1346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000684A
IN
Other
Enumeration date
05/10/2006
Last updated
06/10/2013
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