Individual
DR. ANDREA KAYE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
208 N MAIN ST, MINSTER, OH 45865-1121
(419) 628-3017
(419) 628-8208
Mailing address
08736 NEW BREMEN NEW KNOXVLE RD, NEW BREMEN, OH 45869-9755
(419) 733-9109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6031/T2946
OH
Other
Enumeration date
07/12/2011
Last updated
03/11/2021
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