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Dr. Michael Philip Dietzel, DDS

Dentist, General Practice in Platteville, WI. Individual provider (NPI-1).

NPI number1235790809
StatusActive
Last updated in NPPESJun 25, 2019

Details

NPI
1235790809
Entity type
Individual (NPI-1)
Name
Dr. Michael Philip Dietzel
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 25, 2019
Last updated
Jun 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice1002108-15WIYes

Practice location

960 Washington St
Platteville, WI 53818-1169

Phone 608-348-2393

Mailing address

960 Washington St
Platteville, WI 53818-1169

Phone 608-348-2393

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