Individual
DR. AMY M DIERCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
214 BLAIRS FERRY RD NE, CEDAR RAPIDS, IA 52402-1602
(319) 378-1515
Mailing address
3150 LONDON WAY, MARION, IA 52302-9517
(319) 210-9586
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06782
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460469
—
IA
01
—
38558
WELLMARK INC
IA
Enumeration date
02/02/2006
Last updated
07/19/2022
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