Individual
NATALIE DIETERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
516 DELAWARE STREET SE, CLINIC 5B, BLOOD AND MARROW TRANSPLANT (BMT CLINIC), MINNEAPOLIS, MN 55455
(612) 626-2663
(612) 626-2664
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
(612) 676-8992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11028
MN
363A00000X
Physician Assistant
5601004075
MI
Other
Enumeration date
06/14/2006
Last updated
03/26/2013
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