ISAAC DIETERMAN

MIDLAND, MI
NPI1174185474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-07-08
Last Update Date2019-07-08
Business Address
ISAAC DIETERMAN BA, DP-C
5816 EASTMAN AVE
MIDLAND, MI 48640-6792
Phone number: 989-774-1224
Mailing Address
ISAAC DIETERMAN BA, DP-C
5816 EASTMAN AVE
MIDLAND, MI 48640-6792
Phone number: 989-774-1224
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