Individual
DR. JAMES BRADLEY DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
360 SHERMAN ST STE 400, SAINT PAUL, MN 55102
(651) 225-1102
(612) 977-1208
Mailing address
360 SHERMAN ST STE 400, SAINT PAUL, MN 55102-2425
(651) 225-1102
(612) 977-1208
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6194
MN
Other
Enumeration date
03/30/2016
Last updated
07/12/2018
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