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Contact Information

CHRISTINE M DIETRICH, APRN, GNP-BC
303 W UPHAM ST STE 200
MARSHFIELD, WI54449-1483
 Phone: 715-204-8555
 Fax: 715-384-8046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHRISTINE M DIETRICH · (Female)

NPI Number 1376747261
Status Active
Credentials APRN, GNP-BC
Entity Individual
Enumeration date 06/13/2007
Last updated 08/14/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R200410-1
  • WI License # 2004-33
  • MN Medicaid 1376747261
  • WI Medicaid 1376747261
  • WI Other 004881926 MEDICARE PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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