-- MICHAEL V DIETER -- O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1245374115- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 12000 ELM CREEK BLVD N STE L90, MAPLE GROVE, MN, 553697168
- Phone
- (763) 416-0919
- Fax
- (763) 416-0992
Specialties & Taxonomies
Optometrist
Primary License: MN #1693