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1912934761
DOUGLAS PAUL DIETZEL
EAST LANSING, MI
NPI
1912934761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: MI 5101011314)
Enumeration Date
2006-06-27
Last Update Date
2016-08-22
Business Address
Dr. DOUGLAS PAUL DIETZEL D.O.
4660 S HAGADORN RD SUITE 420
EAST LANSING, MI 48823-5376
Phone number: 517-884-6100
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Mailing Address
Dr. DOUGLAS PAUL DIETZEL D.O.
804 SERVICE RD # A201
EAST LANSING, MI 48824-7015
Phone number: 517-884-2676
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