Individual
PETER N DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 955-0122
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 955-0122
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
68289
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225484363
—
WI
Enumeration date
05/08/2016
Last updated
12/17/2024
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