Basic Information
| Provider Information | |||||||||
| NPI: | 1669543252 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DIEMER | ||||||||
| FirstName: | MARGRETTA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8901 WISCONSIN AVE | ||||||||
| Address2: | WALTER REED NATIONAL MILITARY MEDICAL CENTER- INT MED | ||||||||
| City: | BETHESDA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208890001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012950196 | ||||||||
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| Practice Location | |||||||||
| Address1: | WALTER REED ARMY MEDICAL CENTER | ||||||||
| Address2: | ATTN MCHL-MAO-C | ||||||||
| City: | 6900 GEORGIA AVE | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203075001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027823366 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2006 | ||||||||
| LastUpdateDate: | 07/15/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | 0101034873 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
No ID Information.