NPI
Jackie Dietz
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2012-11-21
- Last updated
- 2012-11-21
Specialties
Licenses
- License MN
- 8784
Location
- Practice location
- 640 3rd St
- City
- Gaylord MN
- Postal code
- 55334-2297
- Phone
- (507) 237-8730
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Gaylord, MN. 50 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
Run it in Rivvi
Is this you?
Check your listing for a stale address, wrong specialty or deactivation. Free.
Check my listingFree to start. Opens Rivvi, the AI workspace for healthcare teams.