Individual
MICHELLE DIETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11929878-1204
UT
207P00000X
Emergency Medicine Physician
20A13278
CA
207P00000X
Emergency Medicine Physician
Primary
331352
NY
Other
Enumeration date
12/02/2013
Last updated
04/10/2025
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