ANDREA KAYE DIETZENBACH

WEST UNION, IA
NPI1205141835
Former NameANDREA KAYE JIRAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IA  002140)
Enumeration Date2010-08-06
Last Update Date2015-04-08
Business Address
-- ANDREA KAYE DIETZENBACH P.A.
110 JEFFERSON ST
WEST UNION, IA 52175-1022
Phone number: 563-422-3817
Mailing Address
-- ANDREA KAYE DIETZENBACH P.A.
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300