person
Michael Richard Dittrich, NP
Primary Care Nurse Practitioner in Carmichael, California
NPI 1194899682

Michael Richard Dittrich is a Primary Care Nurse Practitioner based in Sacramento, CA and is specialized in Primary Care. Michael Richard Dittrich practices in Carmichael, CA and has the professional credentials of NP. The NPI Number for Michael Richard Dittrich is 1194899682 and holds a License No. NP6056 (California).

The current practice location address for Michael Richard Dittrich is 6555 Coyle Ave, Carmichael, CA and can be reached out via phone at 916-536-3540.

Location: 6555 Coyle Ave, Carmichael, CA, 95827-1069
person
Provider Profile Details
NPI Number
1194899682
Provider Name
Michael Richard Dittrich
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
6555 Coyle Ave, Carmichael, CA, 95827-1069
Phone Number
916-536-3540
Fax Number
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN397509 05 CA
5843015 01 CA AETNA
90207877 01 CA PACIFICARE
000810374542 01 CA PHCS
1750289 01 CA GREAT WEST
2688843 01 CA UNITED HEALTHCARE
461131 01 CA INTERPLAN
N397509 01 CA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
6555 Coyle Ave
City
State
Zip
95608-0302
Phone Number
916-536-3540
Fax Number
person
Provider Business Mailing Address Details
Address
6555 Coyle Ave
City
State
Zip
95608-0302
Phone Number
916-536-3540
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
NP6056 (California)
Definition
Definition to come...
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