Individual
KATHRYN E DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 PIDGEON HILL DR STE 208, STERLING, VA 20165-6134
(703) 539-6059
Mailing address
2418 W INDIAN TRL STE F, AURORA, IL 60506-1590
(630) 907-0578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053428
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704623
—
MI
Enumeration date
10/11/2006
Last updated
03/19/2019
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