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

Mr. Eberhardt Alan Dietzel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689435026

Mr. Eberhardt Alan Dietzel is a Student in an Organized Health Care Education/Training Program in Sturgeon Bay, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1006 Quincy St
Sturgeon Bay, WI 54235-1829
Phone: (920) 559-8808
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1689435026
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

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