Individual
TERRIS DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 13TH AVE W, SUITE 1, DICKINSON, ND 58601-4879
(701) 227-7500
(701) 227-7575
Mailing address
300 13TH AVE W, SUITE 1, DICKINSON, ND 58601-4879
(701) 227-7500
(701) 227-7575
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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