Dennis Dietzen
Dennis Dietzen is a Clinical Laboratory Director (Non-physician) in Glen Carbon, Illinois. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
203 Sierra PtGlen Carbon, IL 62034-1346
Phone: (618) 971-8827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Laboratory Director (Non-physician) (primary) | Taxonomy 247ZC0005X |
|---|
Record details
| NPI number | 1598475592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2022 |
| Last updated in NPPES | November 30, 2022 |
| Certification date | November 30, 2022 |