Nancy M Dickerson MD

NPI 1053378851 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1053378851
Gender Female
Enumeration Date 04/27/2006
Last Updated 10/18/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
3960 COON RAPIDS BLVD NW
SUITE101
COON RAPIDS MN, 55433-2569, US
Phone (763) 236-9236
Fax
Business Location
2925 CHICAGO AVE
MINNEAPOLIS MN, 55407-1321, US
Phone (612) 262-5000
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Minnesota
License Number 33867
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According to our database, Nancy M Dickerson MD NPI is 1053378851, taxonomy code is 207V00000X and license number is 33867, license state is located at Minnesota. Nancy M Dickerson MD physically located at 3960 Coon Rapids Blvd Nw, Coon Rapids MN, 55433-2569. NPI Number Nancy M Dickerson MD has the Individual type.

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1053378851 NPI number is provided on an as is basis without warranty of any kind. 1053378851 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy M Dickerson MD are for informational purposes only.