Jason Paul Dieterle, DO
NPI #1376730069 in Oak Park Heights, Minnesota
Provider Information
- NPI Number
- 1376730069
- Entity Type
- Individual
- Name
- Jason Paul Dieterle, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Orthopaedic Surgery
- Credential
- DO
- Enumeration Date
- Sep 26, 2007
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 5715 MEMORIAL AVE N
- City
- Oak Park Heights
- State
- Minnesota
- ZIP Code
- 55082-1093
- Phone
- (651) 439-8807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
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