Individual
VICKIE L DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 JEFFERSON ST NORTH, WADENA, MN 56482-1296
(218) 631-3510
(218) 631-7507
Mailing address
415 JEFFERSON ST NORTH, WADENA, MN 56482-1296
(218) 631-3510
(218) 631-7507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29545
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702775
MEDICA HEALTH PLANS
—
01
—
110425
U CARE
—
01
—
160037460
RR MEDICARE
—
01
—
2114073
FIRST HEALTH PLAN
—
01
—
254013
PREFERRED ONE
—
05
—
338577900
—
MN
01
—
50A46DE
BLUE CROSS BLUE SHIELD
—
01
—
596760
ARAZ GROUP AMERICAS PPO
—
01
—
COMP
ONE HEALTH PLAN GREAT WES
—
01
—
HP25416
HEALTH PARTNERS
—
Enumeration date
10/31/2005
Last updated
10/11/2016
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