Jon Fredrick Dietlein, M.D.

NPI #1811901887 in Georgetown, Texas

Provider Information

NPI Number
1811901887
Entity Type
Individual
Name
Jon Fredrick Dietlein, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Ophthalmology
Credential
M.D.
Enumeration Date
Jul 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
311 RIVER BEND DR
State
Texas
ZIP Code
78628-2782
Phone
(512) 931-2255

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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