Individual
WOLFGANG F DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 S PATTERSON BLVD, SUITE 400, DAYTON, OH 45402-2684
(937) 496-2600
(937) 496-2610
Mailing address
1222 S PATTERSON BLVD, SUITE 400, DAYTON, OH 45402-2684
(937) 496-2600
(937) 496-2610
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35 05 7188
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004018
ANTHEM
—
01
—
0805083
AETNA
—
01
—
1000383
UNITEDHEALTHCARE
—
05
—
2000837
—
OH
01
—
D57188
HUMANA
—
Enumeration date
02/03/2006
Last updated
01/15/2013
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