Individual
DR. KRISTIE M DEZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1431 BEAM AVE, SAINT PAUL, MN 55109-1064
(612) 486-1747
(612) 486-1744
Mailing address
1431 BEAM AVE, SAINT PAUL, MN 55109-1064
(612) 486-1747
(612) 486-1744
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117735
MN
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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