Individual
JULIE C DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 389-3777
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36023
WI
2080P0202X
Pediatric Cardiology Physician
Primary
36023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32079300
—
WI
Enumeration date
09/25/2006
Last updated
07/25/2007
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