Individual
MATTHEW WILLIAM DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-3108
(612) 672-6000
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 869-6883
(510) 869-6888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
66321
MN
207R00000X
Internal Medicine Physician
A146697
CA
208M00000X
Hospitalist Physician
A146697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00327034
—
CO
01
—
A146697
STATE MEDICAL LICENSE
CA
Enumeration date
05/09/2012
Last updated
09/23/2024
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