NPI 1790217651

Jared Dietze

Practitioner Surgery Physician Hastings, NE

Practice location

Address: 618 N Denver Ave, Hastings, NE 68901-5122
Phone: (402) 834-2450
Fax: (402) 834-2449

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 34720 (NE)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1790217651
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2017
Record last updated: 18 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.