Dr DOUGLAS P DIETZEL DO is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1991 from Philadelphia College Of Osteopathic Medicine.
BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY
4660 S HAGADORN RD
SUITE 420
EAST LANSING
MI
488235353
Tel: 5178846100
| Npi | 1912934761 |
| Pac Id | 1254396351 |
| Professional Enrollment Id | I20041201000054 |
| Last Name | DIETZEL |
| First Name | DOUGLAS |
| Middle Name | P |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | ORTHOPEDIC SURGERY |
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| Organization Legal Name | BOARD OF TRUSTEES OF MICHIGAN STATE UNIVERSITY |
| Group Practice Pac Id | 3870405954 |
| Number Of Group Practice Members | 198 |
| Line 1 Street Address | 4660 S HAGADORN RD |
| Line 2 Street Address | SUITE 420 |
| Marker Of Address Line 2 Suppression | |
| City | EAST LANSING |
| State | MI |
| Zip Code | 488235353 |
| Phone Number | 5178846100 |
| Hospital Affiliation Ccn 1 | 230167 |
| Hospital Affiliation Lbn 1 | MCLAREN GREATER LANSING |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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