JOHN DIEDRICH, M.D.
Internal Medicine
Active
Individual
NPI: 1114924610
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 4301044782 (MI) |
Frequently Asked Questions
NPI 1114924610 is the National Provider Identifier for JOHN DIEDRICH, M.D., a Internal Medicine provider located in Petoskey, MI. This NPI was enumerated on June 30, 2005.
JOHN DIEDRICH, M.D. practices at 560 W MITCHELL ST, Petoskey, MI 49770.
Quick Facts
- NPI
- 1114924610
- Type
- Individual
- Enumerated
- Jun 30, 2005
- Last Updated
- Jul 8, 2007
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