Individual
ZACHARY DIETCH
Active
Individual
ZACHARY DIETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
036153226
IL
204F00000X
Transplant Surgery Physician
A155080
CA
208600000X
Surgery Physician
A155080
CA
Other
Enumeration date
03/18/2011
Last updated
10/08/2020
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