Individual
JAY DEIMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 MYRTLE ST STE L10, ERIE, PA 16502-4611
(814) 454-2401
(814) 459-5992
Mailing address
2315 MYRTLE ST STE L10, ERIE, PA 16502-4611
(814) 454-2401
(814) 459-5992
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125054632
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD461322
PA
Other
Enumeration date
04/17/2009
Last updated
04/29/2024
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