Individual provider · Type 1 NPI

Michael Jeffrey Dietzen, MD

Student in an Organized Health Care Education/Training Program · Greenville, NC

NPI number 1912434150 Active

Practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1912434150

Michael Jeffrey Dietzen, MD's National Provider Identifier is 1912434150, issued on May 18, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenville, NC. The record was last updated on Jul 21, 2022.