GRANT MICHAEL DIETZ

TULSA, OK
NPI1538943618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  5700)
Enumeration Date2023-08-21
Last Update Date2025-11-23
Business Address
GRANT MICHAEL DIETZ PA-C
10115 E 80TH ST STE A
TULSA, OK 74133-3421
Phone number: 918-994-4400
Mailing Address
GRANT MICHAEL DIETZ PA-C
3111 AZALEA PARK DR
MUSKOGEE, OK 74401-2284
Phone number: 918-608-1382
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