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1114924610
JOHN L DIEDRICH
PETOSKEY, MI
NPI
1114924610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301044782)
Enumeration Date
2005-06-30
Last Update Date
2007-07-08
Business Address
-- JOHN L DIEDRICH M.D.
560 W MITCHELL ST
PETOSKEY, MI 49770-2278
Phone number: 231-487-2460
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Mailing Address
-- JOHN L DIEDRICH M.D.
560 W MITCHELL ST
PETOSKEY, MI 49770-2278
Phone number: 231-487-2460
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