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Individual

DR. ALEC JAMES DIERKSHEIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3210 CLEVELAND AVE STE 100, FORT MYERS, FL 33901-7182
(239) 936-6778
Mailing address
3210 CLEVELAND AVE STE 100, FORT MYERS, FL 33901-7182
(239) 936-6377

Taxonomy

Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
PO4504
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4504
FL

Other

Enumeration date
04/17/2019
Last updated
02/08/2024
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