MEDICARE: JAMIE L DIETER

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
1	251S00000X	Community/Behavioral Health Agency		WI

General Provider Information

NPI Number	:	1730023755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE L DIETER

Provider Business Mailing Address
First Line	:	1420 WEST LAWN AVE
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53405-3344
Country	:	US
Telephone Number	:	262-930-4656
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 WEST LAWN AVE
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53405-3344
Country	:	US
Telephone Number	:	262-930-4656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2026
Last Update Date	:	04/18/2026

Similar Medicare Providers

1922967736 — EARS AND EMPATHY
Practice Location Address:

1020 WEST BLVD STE 105
RACINE, WI
53405-2502

Practice Phone: 414-877-7004
Practice Fax:

1033108014 — MICHAEL DEAN CLARK PA-C
Practice Location Address:

3805B SPRING ST
RACINE, WI
53405-1641

Practice Phone: 262-687-4201
Practice Fax:

1033115787 — MR. MARK A. PELTON RPH
Practice Location Address:

3801 SPRING ST
RACINE, WI
53405-1667

Practice Phone: 262-687-5108
Practice Fax:

1053319285 — METZ MEDICAL INC
Practice Location Address:

2045 LATHROP AVE
RACINE, WI
53405-3758

Practice Phone: 262-654-4000
Practice Fax: 262-654-5400

1831198456 — DR. SHARON S. HILL D.C.
Practice Location Address:

2710 WRIGHT AVE
RACINE, WI
53405-5007

Practice Phone: 262-633-4016
Practice Fax: 262-633-0655

1679573539 — DR. ROBERT THOMAS NAVRATIL DDS
Practice Location Address:

3528 MEACHEM RD
RACINE, WI
53405-4662

Practice Phone: 262-598-8750
Practice Fax:

Directions to “ JAMIE L DIETER ” 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.