DR. Michael Morgan Dietch III, M.D.

NPI #1043224538 in Port Orange, Florida

Provider Information

NPI Number: 1043224538
Entity Type: Individual
Name: DR. Michael Morgan Dietch III, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 28, 2006
Last Updated: Aug 20, 2010

Practice Location

Address: 3875 S NOVA RD
City: Port Orange
State: Florida
ZIP Code: 32127-4950
Phone: (386) 322-9244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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