Individual
DENNIS W. DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 15TH AVE S, STE 206, GREAT FALLS, MT 59405-4375
(406) 727-3720
(406) 727-0007
Mailing address
400 15TH AVE S, STE 206, GREAT FALLS, MT 59405-4375
(406) 727-3720
(406) 727-0007
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5223
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075036
—
MT
Enumeration date
10/24/2006
Last updated
07/08/2007
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