Individual
FRANK CHRISTOPHER DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-3455
Mailing address
6352 WINSLOW DR, INDIANAPOLIS, IN 46237-8201
(317) 881-3536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28145149A
IN
Other
Enumeration date
09/25/2010
Last updated
09/25/2010
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