Individual
DR. ALBERT JOSEPH DIETZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W651 WEST CT, GENOA CITY, WI 53128-1124
(262) 279-0722
Mailing address
W651 WEST CT, GENOA CITY, WI 53128-1124
(262) 279-0722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39310-20
WI
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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