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DR. MICHAEL PHILIP DIETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
960 WASHINGTON ST, PLATTEVILLE, WI 53818-1169
(608) 348-2393
Mailing address
960 WASHINGTON ST, PLATTEVILLE, WI 53818-1169
(608) 348-2393

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002108-15
WI

Other

Enumeration date
06/25/2019
Last updated
06/25/2019
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