Organization
DAVID F. DIETEMAN, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F. DIETEMAN MD (PRESIDENT)
(814) 459-2726
Entity
Organization
Contact information
Practice address
3190 GLENWOOD PARK AVE, ERIE, PA 16508-2746
(814) 459-2726
Mailing address
3190 GLENWOOD PARK AVE, ERIE, PA 16508-2746
(814) 459-2726
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD013236E
PA
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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