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David Dietrich
NPI 1558127498 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4802 E Broadway
Madison, WI 53716 - Phone
- (608) 889-7500
- Organisation at this address
- Premier Care Of Wisconsin, Llc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-27
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 Wisconsin