Individual
ELIZABETH DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 BANDANA BLVD W, SAINT PAUL, MN 55108-5107
(651) 241-9700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36997
MN
Other
Enumeration date
07/11/2006
Last updated
11/22/2011
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