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Susan Retzlaff Deitrick, PA-C
NPI 1912907981 · on the registry since 2005
Practice
- Address
- 418 N Webb Rd
Grand Island, NE 68803 - Phone
- (308) 382-1100
- Fax
- (308) 385-0796
- Organisation at this address
- Grand Island Dermatology Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-14
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 Nebraska