Individual
TIFFANY RICKBEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 SIXTH AVE N, CENTRA CARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 SIXTH AVE N, CENTRA CARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105992
MN
390200000X
Student in an Organized Health Care Education/Training Program
BP10034987
TX
Other
Enumeration date
04/29/2009
Last updated
05/15/2012
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