SUSAN RETZLAFF DEITRICK, PA-C

Physician Assistant

Active Individual
NPI: 1912907981

Practice Address

418 N WEBB RD
Grand Island, NE 68803

Phone: (308) 382-1100

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 829 (NE)

Frequently Asked Questions

NPI 1912907981 is the National Provider Identifier for SUSAN RETZLAFF DEITRICK, PA-C, a Physician Assistant provider located in Grand Island, NE. This NPI was enumerated on July 29, 2005.
SUSAN RETZLAFF DEITRICK, PA-C practices at 418 N WEBB RD, Grand Island, NE 68803.

Quick Facts

NPI
1912907981
Type
Individual
Enumerated
Jul 29, 2005
Last Updated
Feb 14, 2020

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