Dietz, Julie C

Dietz, Julie C is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Dietz, Julie C can be contacted via phone (715) 389-3777.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449
Phone: (715) 389-3777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36023 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 36023 Wisconsin

Profile Details

NPI number 1912007162
LBN Legal business name Dietz, Julie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 25th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912007162 NPPES
Wisconsin MEDICAID 32079300

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