Amy Daleiden

NPI 1053394692 - Family Medicine - 207Q00000X

NPI Details
NPI 1053394692
Gender Female
Enumeration Date 11/29/2005
Last Updated 06/18/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
8240 GOLDEN VALLEY RD
GOLDEN VALLEY MN, 55427-4476, US
Phone (952) 993-8300
Fax
Business Location
6465 WAYZATA BLVD
SUITE 315
ST LOUIS PARK MN, 55426-1728, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 41667
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According to our database, Amy Daleiden NPI is 1053394692, taxonomy code is 207Q00000X and license number is 41667, license state is located at Minnesota. Amy Daleiden physically located at 8240 Golden Valley Rd, Golden Valley MN, 55427-4476. NPI Number Amy Daleiden has the Individual type.

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1053394692 NPI number is provided on an as is basis without warranty of any kind. 1053394692 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Daleiden are for informational purposes only.