Individual
DR. IAN DIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 KITCHENS LN, POCONO LAKE, PA 18347-7955
(570) 643-1650
Mailing address
102 KITCHENS LN, POCONO LAKE, PA 18347-7955
(570) 643-1650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD013520E
PA
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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