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Dr. Michael E Deitz, MD
Specialist in Richland, Washington
NPI 1285610378

Michael E Deitz is a Specialist based in Richland, WA. Michael E Deitz practices in Richland, WA and has the professional credentials of MD. The NPI Number for Michael E Deitz is 1285610378 and holds a License No. MD21436 (Washington).

The current practice location address for Michael E Deitz is 475 Bradley Blvd, Richland, WA and can be reached out via phone at 509-943-2240 and via fax at 509-943-1575.

Location: 475 Bradley Blvd, Richland, WA, 99352-4419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285610378
Provider Name
Michael E Deitz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
475 Bradley Blvd, Richland, WA, 99352-4419
Phone Number
509-943-2240
Fax Number
509-943-1575
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1004901 01 WA COMMUNITY HEALTH PLAN
1011998 05 WA
5438375 01 AETNA
152595 05 OR
26051 01 WA LABOR & INDUSTRIES
350230 01 UNITED HEALTHCARE
314 01 WA GROUP HEALTH
institution
Provider Business Practice Location Address Details
Address
475 Bradley Blvd
City
Richland
State
Washington
Zip
99352-4419
Phone Number
509-943-2240
Fax Number
509-943-1575
person
Provider Business Mailing Address Details
Address
475 Bradley Blvd
City
Richland
State
Washington
Zip
99352-4419
Phone Number
509-943-2240
Fax Number
509-943-1575
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD21436 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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