JOHN L DIEDRICH M.D.
NPI 1114924610
Internal Medicine in Petoskey, MI

Active since June 30, 2005
560 W MITCHELL ST, PETOSKEY, MI 49770(231) 487-2460(231) 487-6596 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John L Diedrich M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN L DIEDRICH M.D. (NPI 1114924610) is an individual internal medicine provider in Petoskey, Michigan, licensed in Michigan (4301044782) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1114924610
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN L DIEDRICHCredential: M.D.
Location Address560 W MITCHELL STPetoskey, MI 49770-2278
Mailing Address560 W Mitchell StPetoskey, MI 49770-2278 · (231) 487-2460 · Fax (231) 487-6596
Fax(231) 487-6596
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1114924610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301044782
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
560 W MITCHELL ST, Petoskey, MI 49770

Other Identifiers 3

Medicare ID-Type Unspecified0M74020002
Medicare UPINB46287
Medicaid104085688MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
560 W MITCHELL ST, STE 210
PETOSKEY, MI 49770
Internal Medicine (Rheumatology)
560 W MITCHELL ST, STE 560
PETOSKEY, MI 49770
Neurological Surgery
560 W MITCHELL ST, SUITE 250
PETOSKEY, MI 49770
Nurse Practitioner (Adult Health)
560 W MITCHELL ST, SUITE 300
PETOSKEY, MI 49770
Internal Medicine
560 W MITCHELL ST, SUITE 300
PETOSKEY, MI 49770
Internal Medicine (Pulmonary Disease)
560 W MITCHELL ST, STE 505
PETOSKEY, MI 49770
Audiologist-Hearing Aid Fitter
560 W MITCHELL ST, SUITE 250
PETOSKEY, MI 49770
Psychiatry & Neurology (Neurology)
560 W MITCHELL ST
PETOSKEY, MI 49770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Diedrich's NPI number?

The NPI number for John Diedrich is 1114924610. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is John Diedrich located?

John Diedrich practices at 560 W Mitchell St, Petoskey, MI 49770. The listed phone number is (231) 487-2460.

What is John Diedrich's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for John Diedrich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.