Individual
EMILY GLASS DIETLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5700
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5700
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
31311
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
05/08/2023
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