Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Joseph Dietzen, MD

Individual provider Pediatric Rehabilitation Medicine Physician · NPI 1790756385

Charles Joseph Dietzen, MD is a Pediatric Rehabilitation Medicine Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

705 Riley Hospital Dr Ri 3146
Indianapolis, IN 46202-5109
Phone: (317) 944-2353
Fax: (317) 944-2390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Rehabilitation Medicine Physician (primary) Taxonomy 2081P0010X · Licence 01036773A (IN)

Record details

NPI number1790756385
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 31, 2006
Last updated in NPPESDecember 18, 2013

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