Individual
MACKENZIE CATHERINE DIRCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3007 HARBOR LN N STE 1200, PLYMOUTH, MN 55447-5103
(612) 439-4650
Mailing address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
(507) 322-7751
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MN
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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