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Individual

DR. ERIC J DIPPEL

Active
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Individual

DR. ERIC J DIPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
30121
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060059569
MEDICARE RAILROAD
05
8114611
IA
01
IB3877001
VASCULAR INSTITUTE OF THE MIDWEST
IA
Enumeration date
01/10/2006
Last updated
04/05/2018
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