Individual
RONNIE N DIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4601 S DUPONT HWY, DOVER, DE 19901-6405
(302) 331-9026
(302) 698-1187
Mailing address
4601 S DUPONT HWY STE 1, DOVER, DE 19901-6405
(302) 331-9026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000437
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036127
—
DE
Enumeration date
04/19/2006
Last updated
06/25/2025
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