Individual
DANIEL D. DIETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8322 BELLONA AVE, SUITE 202, TOWSON, MD 21204-2012
(410) 825-6310
(410) 825-6320
Mailing address
25 CROSSROADS DR, STE 306, OWINGS MILLS, MD 21117
(410) 825-6310
(410) 825-6320
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0045331
MD
Other
Enumeration date
05/30/2006
Last updated
04/23/2014
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