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

Individual provider Emergency Medicine Physician · NPI 1912959446

Thomas J Dietrich, MD is an Emergency Medicine in Milwaukee, Wisconsin. Graduated from Pennsylvania State University College of Medicine in 1996, 30 years ago. Practices with Lake Country Emergency Physicians, a 7-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
30
Trained at
Pennsylvania State University College of Medicine
Licensed in
WI
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

111 E Wisconsin Ave Ste 2000
Milwaukee, WI 53202-4815
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 44609-020 (WI)

Record details

NPI number1912959446
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJanuary 27, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Lake Country Emergency Physicians — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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