Erin Marie Diedrick, PA-C

NPI #1467980540 in Appleton, Wisconsin

Provider Information

NPI Number: 1467980540
Entity Type: Individual
Name: Erin Marie Diedrick, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 1, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 5045 W GRANDE MARKET DR
City: Appleton
State: Wisconsin
ZIP Code: 54913-8517
Phone: (715) 460-0488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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