Individual
DR. RANDALL CRAIG DIELEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 684-3173
Mailing address
1780 FOX RIDGE RD, PELLA, IA 50219-7568
(641) 780-4737
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02126
IA
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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