IndividualActive
Charles Dietzen, M.D.
NPI 1790756385 · Pediatric Rehabilitation Medicine Physician · Indianapolis, IN
Provider details
- NPI number
- 1790756385
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01036773A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
705 Riley Hospital Dr
Ri 3146
Indianapolis, IN 46202-5109
Phone: (317) 944-2353
Fax: (317) 944-2390
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1026
Indianapolis, IN 46206-1026
Registry dates
- Enumerated
- 2006-01-31
- Last updated
- 2013-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.