EMILY DIETRICH MD – NPI #1053533646
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

EMILY DIETRICH is a physician located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1053533646 to EMILY DIETRICH on May 03, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 8 years ago on Sep 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMILY DIETRICH below.

NPI Profile for
EMILY DIETRICH

NPI Number
1053533646
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
EMILY DIETRICH
Credentials
MD
Primary location
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Phone: (616) 685-6501 Fax: (616) 685-3052
1 Other location(s):
221 Michigan St NE
Suite 600
Grand Rapids, MI 49503-2543
Phone: (616) 774-7035
Fax: (616) 774-4057
Mailing address
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
MI 4301088429

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.