Individual
DANIEL B DIETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00042128
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169345
L&I
—
05
—
1093740805
—
WA
01
—
315585
L&I POST 7/21/13
WA
01
—
P01256409
RR MEDICARE
WA
Enumeration date
07/11/2006
Last updated
06/15/2022
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