Individual
TORI NICOLE DIEDRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7910 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(317) 516-5000
Mailing address
7910 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(317) 516-5000
(317) 516-5001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
02008293A
IN
207N00000X
Dermatology Physician
5101027931
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
07/03/2025
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