Steven Todd Dietzman in Medford - Athletic Trainer
Steven Todd Dietzman - NPI 1851426753
Steven Todd Dietzman is a Athletic Trainer in Medford, Wisconsin. Steven Todd Dietzman practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Steven Todd Dietzman is 1851426753. The last update date is 2007-07-10.
Steven Todd Dietzman's current location address is 103 South Gibson Street, Medford, Wisconsin. You can contact this provider via phone number 7157488112 and fax number 7157488792. The mailing address for Steven Todd Dietzman is 103 South Gibson Street, Medford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Todd Dietzman |
|---|---|
| Address | 103 South Gibson Street, Medford, Wisconsin |
| Phone Number | 7157488112 |
| Fax Number | 7157488792 |
| Sole Proprietor | N |
| Credentials | LAT |
NPI Number Detail
| NPI Number | 1851426753 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 103 South Gibson Street |
|---|---|
| City | Medford |
| State | Wisconsin (WI) |
| Post Code | 54451 |
| Phone Number | 7157488112 |
| Fax Number | 7157488792 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 197-039 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the Steven Todd Dietzman's 1851426753?
The Steven Todd Dietzman's NPI (National Provider Identifier) Number is 1851426753. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Steven Todd Dietzman is located?
The Steven Todd Dietzman is situated at the following address: 103 South Gibson Street, Medford, WI, 54451.
What is the Steven Todd Dietzman's specialty and taxonomy code?
The Steven Todd Dietzman's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851426753 to Steven Todd Dietzman?
The Centers for Medicare & Medicaid Services originally issued the 1851426753 to Steven Todd Dietzman on 2007-02-22.
When was the information regarding Steven Todd Dietzman most recently updated?
The details pertaining to the Steven Todd Dietzman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-10.
NPI Number: 1902809924
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