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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON PAUL DIETERLE, DO

Active

JASON PAUL DIETERLE, DO is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in OAK PARK HEIGHTS, Minnesota. NPI 1376730069 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · OAK PARK HEIGHTS, MN

Registration Details

NPI Number
1376730069
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2007 (18.838074049838 yrs)
Last Updated
Sep 4, 2024
Licenses
51694 (MN)
52724-21 (WI)
52724-21 (WI)
51694 (MN)

Practice Information

Address
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN, 550821093
Browse MN providers · Browse ZIP 55082
Phone
6514398807
Fax
6514390232
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Additional Specialty
Orthopaedic Surgery

Other Adult Reconstructive Orthopaedic Surgery Providers in OAK PARK HEIGHTS, MN

Name Credential NPI
DR. ANDREA MARIE SATERBAK MD 1184620858
DR. NICHOLAS GREGORY WEISS MD 1265438907
DR. MICHAEL ROBERT MEISTERLING MD 1346247665
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.