John L Diedrich, M.D.

NPI #1114924610 in Petoskey, Michigan

Provider Information

NPI Number: 1114924610
Entity Type: Individual
Name: John L Diedrich, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 560 W MITCHELL ST
City: Petoskey
State: Michigan
ZIP Code: 49770-2278
Phone: (231) 487-2460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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