Jeanne Marie Dietrich

NPI #1750073094 in Houghton Lake, Michigan

Provider Information

NPI Number: 1750073094
Entity Type: Individual
Name: Jeanne Marie Dietrich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: May 24, 2023
Last Updated: May 24, 2023

Practice Location

Address: 100 HIDDEN HILLS RD
City: Houghton Lake
State: Michigan
ZIP Code: 48629-7514
Phone: (989) 709-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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