Individual
TIMOTHY C DIETZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3121 W SPENCER ST STE H, APPLETON, WI 54914-4307
(920) 209-5553
Mailing address
3121 W SPENCER ST STE H, APPLETON, WI 54914-4307
(920) 404-0451
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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