SearchMinnesotaSports Medicine (Orthopaedic Surgery) Physician

Jason Dieterle, DO

NPI 1376730069 · on the registry since 2007

Practice

Address
5715 Memorial Ave N
Oak Park Heights, MN 55082
Phone
(651) 439-8807
Fax
(651) 439-0232
Clinicians at this address
17

Registry record

Primary taxonomy
Sports Medicine (Orthopaedic Surgery) Physician
207XX0005X
Also registered as
Orthopaedic Surgery Physician
Orthopaedic Surgery Physician
Sports Medicine (Orthopaedic Surgery) Physician
Licence states on file
MN, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota