Terry J Dietrich, MD

NPI #1245274141 in New London, Wisconsin

Provider Information

NPI Number: 1245274141
Entity Type: Individual
Name: Terry J Dietrich, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: MD
Enumeration Date: Jun 15, 2006
Last Updated: Nov 23, 2011

Practice Location

Address: 1405 MILL ST
City: New London
State: Wisconsin
ZIP Code: 54961-2155
Phone: (920) 831-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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