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Renee L Dietrich
Family Nurse Practitioner in Menominee, Michigan
NPI 1821377177

Renee L Dietrich is a Family Nurse Practitioner based in Iron Mountain, MI and is specialized in Family. Renee L Dietrich practices in Menominee, MI. The NPI Number for Renee L Dietrich is 1821377177 and holds a License No. 088583 (Michigan).

The current practice location address for Renee L Dietrich is 1110 10Th Ave Ste 101, Menominee, MI and can be reached out via phone at 906-863-1286.

Location: 1110 10Th Ave Ste 101, Menominee, MI, 49801-4760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821377177
Provider Name
Renee L Dietrich
Credential
Provider Entity Type
Individual
Gender
Female
Address
1110 10Th Ave Ste 101, Menominee, MI, 49801-4760
Phone Number
906-863-1286
Fax Number
Provider Enumeration Date
08/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1110 10Th Ave Ste 101
City
Menominee
State
Michigan
Zip
49858-3058
Phone Number
906-863-1286
Fax Number
person
Provider Business Mailing Address Details
Address
1110 10Th Ave Ste 101
City
Menominee
State
Michigan
Zip
49858-3058
Phone Number
906-863-1286
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
088583 (Iowa)
Definition
Definition to come...
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