Individual
JEFFERY R DICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
849 GOVERN CIRCLE, SAINT PAUL, MN 55123
(651) 271-4463
Mailing address
849 GOVERN CIR, EAGAN, MN 55123-2460
(651) 271-4463
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
51484
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123490A
—
IN
Enumeration date
03/14/2006
Last updated
08/25/2011
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