Individual provider · Type 1 NPI
Eberhardt Alan Dietzel
Student in an Organized Health Care Education/Training Program · Sturgeon Bay, WI
NPI number
1689435026
Active
Practice location
1006 Quincy St
Sturgeon Bay, WI 54235-1829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Athletic Trainer | 2255A2300X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1689435026
Eberhardt Alan Dietzel's National Provider Identifier is 1689435026, issued on Jan 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sturgeon Bay, WI. The record was last updated on Jan 22, 2024.