Individual
JENNIFER LYNNE DIETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3023 DAVENPORT AVE, SAGINAW, MI 48602-3652
(989) 907-2761
(989) 907-2762
Mailing address
3023 DAVENPORT AVE, SAGINAW, MI 48602-3652
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704261791
MI
Other
Enumeration date
11/15/2013
Last updated
10/03/2022
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