Individual
IZABELLA RAEH DIEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2822 W 43RD ST, MINNEAPOLIS, MN 55410-1696
(612) 767-4680
Mailing address
3513 WELCOME AVE N, MINNEAPOLIS, MN 55422-2635
(507) 828-6434
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7208
MN
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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