| Dr Stefani Lorane Diedrich, MD | |
|
4881 Sugar Maple Dr, Wpafb, OH 45433-5529 | |
| (937) 630-2161 | |
| Not Available |
| Full Name | Dr Stefani Lorane Diedrich |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 4881 Sugar Maple Dr, Wpafb, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306060660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01063964A (Indiana) | Primary |
| Entity Name | Anesthesia Care Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160452 PECOS PAC ID: 0446244388 Enrollment ID: O20040413000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stefani Lorane Diedrich, MD 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 630-2161 | Dr Stefani Lorane Diedrich, MD 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 630-2161 |
Geoffrey Thomas, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-3098 | |
Dr. Taylor R. Kjar, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 88th Medical Group, 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 937-257-0837 | |
Mr. Ryan David Nicklas, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433 Phone: 376-302-1619 |