Individual
MARK E DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
981080 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1080
(402) 559-8000
(402) 559-5511
Mailing address
981080 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1080
(402) 559-8000
(402) 559-5511
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
48446
MN
Other
Enumeration date
06/12/2006
Last updated
11/09/2012
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