Individual
DR. DAVID W DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-5404
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(216) 444-5404
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
2001031151
MO
208C00000X
Colon & Rectal Surgery Physician
Primary
332702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205682909
—
MO
05
—
2267596
—
OH
Enumeration date
07/17/2006
Last updated
10/09/2024
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