Individual
DR. ADAM DOUGLAS DIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5806 CHURCH LN, HYDES, MD 21082-9722
(443) 604-2530
Mailing address
7111 FAIRWAY DR, PALM BEACH GARDENS, FL 33418-4204
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R212608
MD
Other
Enumeration date
06/08/2021
Last updated
01/26/2022
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