Individual
DREW THOMAS DIETLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
Mailing address
2220 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66405
MN
Other
Enumeration date
03/30/2016
Last updated
12/06/2022
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