Daniel J Diekema in South Portland - Internal Medicine
Daniel J Diekema - NPI 1104801489
Daniel J Diekema is a Internal Medicine in South Portland, Maine. Daniel J Diekema practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Daniel J Diekema is 1104801489. The last update date is 2022-09-12.
Daniel J Diekema's current location address is 41 Donald B Dean Dr, South Portland, Maine. You can contact this provider via phone number 2076617901. The mailing address for Daniel J Diekema is 41 Donald B Dean Dr, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel J Diekema |
|---|---|
| Address | 41 Donald B Dean Dr, South Portland, Maine |
| Phone Number | 2076617901 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104801489 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2022-09-12 |
Provider Mailing Address Detail
| Address | 41 Donald B Dean Dr |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41063252 |
| Phone Number | 2076617901 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 28731 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47989 | IA | WELLMARK BCBS | |
| 98376 | IA | -- |
Post Comment/ Review Below
What is the Daniel J Diekema's unique identification number?
The Daniel J Diekema has been assigned the NPI (National Provider Identifier) Number 1104801489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Daniel J Diekema is physically located?
The Daniel J Diekema is physically situated at the following address: 41 Donald B Dean Dr, South Portland, ME, 41063252.
What is Daniel J Diekema's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Daniel J Diekema's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104801489 to Daniel J Diekema?
The Daniel J Diekema received its 1104801489 assignment from the Centers for Medicare & Medicaid Services on 2005-12-09.
As of what date were the details related to Daniel J Diekema most recently updated or revised?
The information pertaining to Daniel J Diekema, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-12.
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