Individual
DR. MICHAEL EDWARD DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 RIVER VALLEY BLVD., NEW RICHMOND, OH 45157
(513) 553-3114
(513) 553-1032
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.005088
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2788649
—
OH
Enumeration date
01/13/2007
Last updated
09/10/2020
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