Individual
MICHAEL DINNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
986 VISTA VILLAGE DR, VISTA, CA 92084-6064
(760) 758-5751
(760) 758-4356
Mailing address
986 VISTA VILLAGE DR, VISTA, CA 92084-6064
(760) 758-5751
(760) 758-4356
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E19780
BLUE CROSS/SHIELD NUMBER
CA
05
—
000E19780
—
CA
Enumeration date
06/10/2005
Last updated
07/09/2007
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