IndividualActive
Douglas Dietzel, D.O.
NPI 1912934761 · Sports Medicine (Orthopaedic Surgery) Physician · East Lansing, MI
Provider details
- NPI number
- 1912934761
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 5101011314 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4660 S Hagadorn Rd
Suite 420
East Lansing, MI 48823-5376
Phone: (517) 884-6100
Fax: (517) 884-6233
Approximate (ZIP-level) locationGet directions
Mailing address
804 Service Rd # A201
East Lansing, MI 48824-7015
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2016-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.