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Individual

DR. DIANNE MARY ALICE PIZEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
17705 HUTCHINS DR, #101, MINNETONKA, MN 55345-4145
(952) 401-8300
Mailing address
17705 HUTCHINS DR, STE. 101, MINNETONKA, MN 55345-4145
(952) 401-8300

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25952
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100453
UCARE
MN
01
1208864
MEDICA
MN
01
6D335PI
BC/BS
MN
01
CP9040844005
PREFERRED ONE
MN
Enumeration date
02/09/2006
Last updated
07/09/2007
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