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Jared Dietze

NPI 1790217651 · on the registry since 2017 · sole proprietor

Practice

Address
618 N Denver Ave
Hastings, NE 68901
Phone
(402) 834-2450
Fax
(402) 834-2449
Organisation at this address
Nebraska Rural Surgical Associates Llc
Nebraska Orthotic & Prosthetic Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 5333 Mcauley Drive, Suite 2115, Ypsilanti, MI

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
390200000X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-18

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 Nebraska