Individual provider · Type 1 NPI
Joshua Alan Dietze, DC
Chiropractor · Pequot Lakes, MN
NPI number
1467874941
Active
Practice location
31095 Berquist Dr
Pequot Lakes, MN 56472-5647
Mailing address
PO Box 281
Pequot Lakes, MN 56472-0281
Other practice locations
- 420 N Chestnut Ave, Suite B, Oconto Falls, WI 54154-1109 · (920) 848-2392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 4951-12 (WI) |
| Chiropractor Primary | 111N00000X | 6714 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
Other chiropractor providers in Pequot Lakes
About NPI 1467874941
Joshua Alan Dietze, DC's National Provider Identifier is 1467874941, issued on Jan 17, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Pequot Lakes, MN. The record was last updated on Feb 5, 2021.