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1124007901
AMY L DIESTELHORST
MENOMONEE FALLS, WI
NPI
1124007901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: WI 45593)
Enumeration Date
2006-01-11
Last Update Date
2014-02-05
Business Address
-- AMY L DIESTELHORST M.D.
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051-4049
Phone number: 262-255-2500
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Mailing Address
-- AMY L DIESTELHORST M.D.
W180N7950 TOWN HALL RD
MENOMONEE FALLS, WI 53051-4049
Phone number: 262-255-2500
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