Individual provider · Type 1 NPI

Susan K. Retzlaff Deitrick, PA-C

Physician Assistant · Grand Island, NE

NPI number 1912907981 Active

Practice location

418 N Webb Rd
Grand Island, NE 68803-4045

Call (308) 382-1100 Map

Fax (308) 385-0796

Mailing address

PO Box 5436
Grand Island, NE 68802-5436

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X829 (NE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912907981

Susan K. Retzlaff Deitrick, PA-C's National Provider Identifier is 1912907981, issued on Jul 29, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Island, NE. The record was last updated on Feb 14, 2020.