Individual
JODIE THERESA DIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 10TH ST S, LA CROSSE, WI 54601-4764
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7804
WI
Other
Enumeration date
04/10/2019
Last updated
09/14/2022
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