DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DAVID J DIETRICH

MEDICARE: DAVID J DIETRICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse130796WY

General Provider Information

NPI Number : 1558127498
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID J DIETRICH
Provider Business Mailing Address
First Line : 8444 N 90TH ST STE 100
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4437
Country : US
Telephone Number : 602-248-8886
Fax Number : 602-854-0504
Provider Business Practice Location Address
First Line : 4802 E BROADWAY
Second Line :
City : MADISON
State : WI
Zip : 53716-4141
Country : US
Telephone Number : 608-889-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2024
Last Update Date : 02/27/2024

Similar Medicare Providers

1184118580 — KA PA YANG APNP
Practice Location Address:
4802 E BROADWAY
MADISON, WI
53716-4141
Practice Phone: 608-889-7500
Practice Fax:
1720701949 — PREMIER CARE OF WISCONSIN, LLC.
Practice Location Address:
4802 E BROADWAY
MADISON, WI
53716-4141
Practice Phone: 608-889-7500
Practice Fax: 480-687-7361
1942060686 — KAYLA HOTZ FNP-C
Practice Location Address:
4802 E BROADWAY
MADISON, WI
53716-4141
Practice Phone: 608-889-7500
Practice Fax:
1972354835 — EMILY R SIMEON RN
Practice Location Address:
4802 E BROADWAY
MADISON, WI
53716-4141
Practice Phone: 608-889-7500
Practice Fax:
1275426496 — AMY A LANZENDORF SAC-IT
Practice Location Address:
4802 E BROADWAY
MADISON, WI
53716-4141
Practice Phone: 608-926-0101
Practice Fax:
1679446090 — ISABELL SCHUEFFNER
Practice Location Address:
4802 E BROADWAY
MADISON, WI
53716-4141
Practice Phone: 608-889-7500
Practice Fax:

Directions to “ DAVID J DIETRICH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.