Douglas Paul Dietzel in East Lansing - Sports Medicine
Douglas Paul Dietzel - NPI 1912934761
Douglas Paul Dietzel is a Sports Medicine in East Lansing, Michigan. Douglas Paul Dietzel practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Douglas Paul Dietzel is 1912934761. The last update date is 2016-08-22.
Douglas Paul Dietzel's current location address is 4660 S Hagadorn Rd, East Lansing, Michigan. You can contact this provider via phone number 5178846100 and fax number 5178846233. The mailing address for Douglas Paul Dietzel is 4660 S Hagadorn Rd, East Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Paul Dietzel |
|---|---|
| Address | 4660 S Hagadorn Rd, East Lansing, Michigan |
| Phone Number | 5178846100 |
| Fax Number | 5178846233 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1912934761 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2016-08-22 |
Provider Mailing Address Detail
| Address | 4660 S Hagadorn Rd |
|---|---|
| City | East Lansing |
| State | Michigan (MI) |
| Post Code | 488235376 |
| Phone Number | 5178846100 |
| Fax Number | 5178846233 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 5101011314 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3379305 | MI | -- | |
| 1912934761 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Douglas Paul Dietzel by the Centers for Medicare & Medicaid Services?
The Douglas Paul Dietzel has been issued the NPI (National Provider Identifier) 1912934761 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Douglas Paul Dietzel?
The Douglas Paul Dietzel is situated at 4660 S Hagadorn Rd, in the city of East Lansing, state of MI, with the zip code 488235376.
What is Douglas Paul Dietzel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Douglas Paul Dietzel is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Xx0005X.
On what date did the Douglas Paul Dietzel receive the assignment of its 1912934761 from the Centers for Medicare & Medicaid Services?
The Douglas Paul Dietzel was issued its 1912934761 by the Centers for Medicare & Medicaid Services on 2006-06-27.
As of what date were the Douglas Paul Dietzel's details last updated?
The information pertaining to the Douglas Paul Dietzel, including its address, specialty, and other details, was most recently updated on 2016-08-22.
NPI Number: 1962405878
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