DR. Cecilia Dietrich, MD

NPI #1992158851 in Grand Rapids, Michigan

Provider Information

NPI Number: 1992158851
Entity Type: Individual
Name: DR. Cecilia Dietrich, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 15, 2016
Last Updated: Aug 1, 2016

Practice Location

Address: 330 BARCLAY AVE NE
Address 2: SUITE 300
City: Grand Rapids
State: Michigan
ZIP Code: 49503-2556
Phone: (616) 391-8810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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