Individual
DR. JOSHUA ALAN DIETZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
31095 BERQUIST DR, PEQUOT LAKES, MN 56472-5647
(218) 568-7767
Mailing address
PO BOX 281, PEQUOT LAKES, MN 56472-0281
(218) 568-7767
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4951-12
WI
111N00000X
Chiropractor
Primary
6714
MN
Other
Enumeration date
01/17/2014
Last updated
02/05/2021
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