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Individual

AMY L DIETRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
705 SIOUX POINT RD, STE 100, DAKOTA DUNES, SD 57049
(605) 217-5500
(605) 217-5515
Mailing address
705 SIOUX POINT RD, STE 100, DAKOTA DUNES, SD 57049
(605) 217-5500
(605) 217-5515

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0598
SD
363A00000X
Physician Assistant
L1728
SD

Other

Enumeration date
02/24/2006
Last updated
05/26/2010
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