Individual
MRS. DIANNE DENISE DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
111 17TH AVE E STE 101, ALEXANDRIA, MN 56308-3734
(320) 762-1144
(320) 762-1935
Mailing address
111 17TH AVE E STE 101, ALEXANDRIA, MN 56308-3734
(320) 762-1144
(320) 762-1935
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4549
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104667
UCARE
—
01
—
4549
ST LICENSE
MN
01
—
6404577
MEDICA
—
01
—
74G48DO
BCBS
—
01
—
989211040352
PREFERRED ONE
—
01
—
HP10347
HEALTH PARTNERS
—
01
—
P00114718
TRAVELERS MEDICARE
MN
Enumeration date
02/28/2006
Last updated
12/15/2010
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