Individual
MICHAEL LEE DITMARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3903 LONE TREE WAY, SUITE 210, ANTIOCH, CA 94509-6249
(925) 757-0800
(925) 757-2160
Mailing address
3903 LONE TREE WAY, SUITE 210, ANTIOCH, CA 94509-6249
(925) 757-0800
(925) 757-2160
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G080207
CA
Other
Enumeration date
08/04/2006
Last updated
12/01/2021
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