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1194899682
MICHAEL RICHARD DITTRICH
CARMICHAEL, CA
NPI
1194899682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA NP6056)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
-- MICHAEL RICHARD DITTRICH NP
6555 COYLE AVE
CARMICHAEL, CA 95608-0302
Phone number: 916-536-3540
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Mailing Address
-- MICHAEL RICHARD DITTRICH NP
2646 STOUGHTON WAY
SACRAMENTO, CA 95827-1069
Phone number: 916-733-3333
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