Dennis Dietzen

NPI #1598475592 in Glen Carbon, Illinois

Provider Information

NPI Number: 1598475592
Entity Type: Individual
Name: Dennis Dietzen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Enumeration Date: Nov 30, 2022
Last Updated: Nov 30, 2022

Practice Location

Address: 203 SIERRA PT
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1346
Phone: (618) 971-8827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X	Primary

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