Individual
MICHAEL ROBERT DEITERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6000
Mailing address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.421447
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0029538
OH
Other
Enumeration date
04/26/2021
Last updated
02/18/2025
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