DIETRICH WERNER IDIAQUEZ

TAMPA, FL
NPI1578210779
Other NameDIETRICH WERNER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL  152109)
Additional Taxonomies207ZH0000X Pathology, Hematology
(Licence: FL  152109)
Enumeration Date2022-03-07
Last Update Date2025-09-05
Business Address
Dr. DIETRICH WERNER IDIAQUEZ MD
12902 USF MAGNOLIA DR DEPT OF
TAMPA, FL 33612-9416
Phone number: 813-745-4673
Mailing Address
Dr. DIETRICH WERNER IDIAQUEZ MD
PO BOX 198441
ATLANTA, GA 30384-8441
Phone number: 813-745-4673