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Individual

MEGAN DIETZE-FIEDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2461 HOLMGREN WAY, GREEN BAY, WI 54304-5224
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
82071-20
WI
2086S0122X
Plastic and Reconstructive Surgery Physician
82071-20
WI

Other

Enumeration date
06/28/2016
Last updated
02/17/2026
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