Individual
DR. JEFFREY JOSEPH DIETZENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5950 UNIVERSITY AVE STE 135, WEST DES MOINES, IA 50266-8232
(515) 875-9795
(515) 875-9796
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-36937
IA
Other
Enumeration date
06/22/2006
Last updated
12/20/2023
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