Individual
WALTER DIETZGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5041 NEW CENTRE DR., SUITE 200, WILMINGTON, NC 28403-1624
(910) 313-3232
Mailing address
5041 NEW CENTRE DR., SUITE 200, WILMINGTON, NC 28403-1624
(910) 313-3232
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37818
NC
Other
Enumeration date
09/22/2006
Last updated
09/11/2007
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