Individual
DR. DANIEL J DIEKEMA
Active
Individual
DR. DANIEL J DIEKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28731
IA
207RI0200X
Infectious Disease Physician
28731
IA
207RI0200X
Infectious Disease Physician
Primary
MD14027
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
28731
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098376
—
IA
01
—
47989
WELLMARK BCBS
IA
Enumeration date
12/09/2005
Last updated
09/12/2022
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