Individual
JACOB THEODORE DIDESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60846859
WA
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
MD60846859
WA
Other
Enumeration date
03/28/2012
Last updated
09/21/2018
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