Individual
KLAUS D DIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1609 RED TAIL DR, VERONA, WI 53593-7931
(608) 845-5655
Mailing address
1609 RED TAIL DR, VERONA, WI 53593-7931
(608) 845-5655
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
19614
WI
207VG0400X
Gynecology Physician
Primary
19614
WI
Other
Enumeration date
02/27/2006
Last updated
04/26/2018
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