Individual
DANIEL W. DIETEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6604
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S5881
TX
390200000X
Student in an Organized Health Care Education/Training Program
5151009603
MI
Other
Enumeration date
06/23/2017
Last updated
11/09/2021
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