Individual
DONOVAN DIETRICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9105 FRANKLIN SQUARE DR, SUITE 316, BALTIMORE, MD 21237-3930
(443) 777-7831
Mailing address
9105 FRANKLIN SQUARE DR, SUITE 316, BALTIMORE, MD 21237-3930
(443) 777-7831
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0027086
MD
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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