Search › Minnesota › 207XX0005X
Jason Dieterle, DO
NPI 1376730069 · on the registry since 2007
Practice
- Address
- 5715 Memorial Ave N
Oak Park Heights, MN 55082 - Phone
- (651) 439-8807
- Fax
- (651) 439-0232
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 207XX0005X
207XX0005X
- Also registered as
- 207X00000X
207X00000X
207XX0005X - Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota