Individual provider · Type 1 NPI

Jason Paul Dieterle, DO

Sports Medicine (Orthopaedic Surgery) Physician · Oak Park Heights, MN

NPI number 1376730069 Active

Practice location

5715 Memorial Ave N
Oak Park Heights, MN 55082-1093

Fax (651) 439-0232

Mailing address

3500 American Blvd W Ste 300
Bloomington, MN 55431-4442

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X51694 (MN)
Orthopaedic Surgery Physician 207X00000X52724-21 (WI)
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X52724-21 (WI)
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X51694 (MN)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1376730069

Jason Paul Dieterle, DO's National Provider Identifier is 1376730069, issued on Sep 26, 2007. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Oak Park Heights, MN. The record was last updated on Sep 4, 2024.