| Dieterman Klinik, LLC | |
|
6208 Fall Harvest Way Fort Collins CO 80528-7242 | |
| (816) 695-2433 | |
| Not Available |
| Full Name | Dieterman Klinik, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6208 Fall Harvest Way, Fort Collins, Colorado |
| Authorized Official Name and Position | Lauren Abigail Dieterman (DNP) |
| Authorized Official Contact | 8166952433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dieterman Klinik, LLC 4200 Somerset Dr Ste 208 Prairie Village KS 66208-5244 | Dieterman Klinik, LLC 6208 Fall Harvest Way Fort Collins CO 80528-7242 Ph: (816) 695-2433 |
| NPI Number | 1386414431 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386414431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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