Renee Dietrich

NPI 1821377177 · on the registry since 2011

Practice

Address: 1110 10th Ave Ste 101
Menominee, MI 49858
Phone: (906) 863-1286
Organisation at this address: Iron Mountain Vamc
Z Boost Performance
Lyon Therapy Services Llc
Upper Great Lakes Family Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 363LF0000X
Licence states on file: IA, WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-04-17

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 Michigan