MR. Christopher Wayne Dietrich, PA

NPI #1013967462 in Indianapolis, Indiana

Provider Information

NPI Number: 1013967462
Entity Type: Individual
Name: MR. Christopher Wayne Dietrich, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 10, 2006
Last Updated: Jun 10, 2013

Practice Location

Address: 8333 NAAB RD
Address 2: SUITE 250
City: Indianapolis
State: Indiana
ZIP Code: 46260-5924
Phone: (317) 396-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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