Individual
PHILIP Y DIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 E NICOLLET BLVD STE 100, BURNSVILLE, MN 55337-6749
(952) 892-7190
(952) 892-7956
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5309
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
32130
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104004
PREFERRED ONE
MN
01
—
110999
UCARE MN
MN
01
—
23252
AMERICA'S PPO
MN
05
—
31682200
—
WI
01
—
3600788
MEDICA
MN
05
—
523590100
—
MN
01
—
8T408DI
BLUE CROSS BLUE SHIELD MN
MN
01
—
HP13164
HEALTHPARTNERS
MN
Enumeration date
03/09/2006
Last updated
12/15/2017
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