James D Diethelm, MD

NPI #1093710410 in Sylvania, Ohio

Provider Information

NPI Number: 1093710410
Entity Type: Individual
Name: James D Diethelm, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 14, 2005
Last Updated: May 1, 2012

Practice Location

Address: 7640 SYLVANIA AVENUE
Address 2: #100
City: Sylvania
State: Ohio
ZIP Code: 43560
Phone: (419) 473-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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