Individual
DR. JOHN W DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 HILL ST, BUCYRUS, OH 44820-1566
(567) 307-7595
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35089810
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
DR.0068644
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2994756
—
OH
Enumeration date
06/18/2007
Last updated
11/22/2024
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