TERRY J DIETRICH

NEW LONDON, WI
NPI1245274141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: WI  49333-020)
Enumeration Date2006-06-15
Last Update Date2011-11-23
Business Address
-- TERRY J DIETRICH MD
1405 MILL ST
NEW LONDON, WI 54961-2155
Phone number: 920-831-5050
Mailing Address
-- TERRY J DIETRICH MD
PO BOX 8003
APPLETON, WI 54912-8003
Phone number: 920-996-3298