Dr MICHELLE E DEITHLOFF is a female medical professional, specializing in Podiatry. She graduated in 2014.
NICHOLAS L HUGENTOBLER PC
2019 GALISTEO ST
SUITE K
SANTA FE
NM
875052159
Tel: 5053959575
| Npi | 1588073290 |
| Pac Id | 7214296904 |
| Professional Enrollment Id | I20180126000783 |
| Last Name | DEITHLOFF |
| First Name | MICHELLE |
| Middle Name | E |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | NICHOLAS L HUGENTOBLER PC |
| Group Practice Pac Id | 0547414351 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 2019 GALISTEO ST |
| Line 2 Street Address | SUITE K |
| Marker Of Address Line 2 Suppression | |
| City | SANTA FE |
| State | NM |
| Zip Code | 875052159 |
| Phone Number | 5053959575 |
| Hospital Affiliation Ccn 1 | 321310 |
| Hospital Affiliation Lbn 1 | HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS |
| Hospital Affiliation Ccn 2 | 320002 |
| Hospital Affiliation Lbn 2 | CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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