Individual
DR. STEPHEN M DIERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 GREEN ST STE 104, GARDNER, MA 01440-1377
(978) 669-5522
(978) 669-5521
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
150601
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3157695
—
MA
Enumeration date
11/05/2005
Last updated
10/30/2018
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