Individual
MS. GINA A DILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LP
Contact information
Practice address
300 1ST AVE NW, SUITE 20, ROCHESTER, MN 55901
(507) 292-1600
(507) 292-1600
Mailing address
1872 TOPAZ POINTE LANE SW, ROCHESTER, MN 55902
(507) 292-1600
(507) 292-1600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3986
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034DIDI
BCBS BLUE CROSS BLUE SHIE
MN
Enumeration date
03/07/2007
Last updated
07/08/2007
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