Individual
TANYA L DIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
132 4TH AVE NE, VALLEY CITY, ND 58072-3056
(701) 845-8060
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 253-5402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7955
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123521
MEDICA #
ND
01
—
0123522
MEDICA #
ND
01
—
1014638
MEDICA #
ND
05
—
11198
—
ND
01
—
137116
UCARE #
ND
01
—
26071
NDBS #
ND
01
—
26072
NDBS #
ND
01
—
323S2DI
MNBS #
ND
01
—
323S3DI
MNBS #
ND
01
—
323S4DI
MNBS #
ND
05
—
412620300
—
ND
01
—
46520
LHS #
ND
01
—
990549
AMERICA'S PPO/ARAZ #
ND
01
—
DA9061017665
PREFERRED ONE #
ND
01
—
HP30667
HEALTHPARTNERS #
ND
Enumeration date
06/18/2006
Last updated
03/07/2018
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