CHARLES JOSEPH DIETZEN

INDIANAPOLIS, IN
NPI1790756385
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine
(Licence: IN  01036773A)
Enumeration Date2006-01-31
Last Update Date2013-12-18
Business Address
-- CHARLES JOSEPH DIETZEN M.D.
705 RILEY HOSPITAL DR RI 3146
INDIANAPOLIS, IN 46202-5109
Phone number: 317-944-2353
Mailing Address
-- CHARLES JOSEPH DIETZEN M.D.
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone number: 317-274-1201
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