Individual
BONNIE J DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(952) 853-8800
(651) 293-8106
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39477
MEDICAL LICENSE
MN
Enumeration date
09/12/2006
Last updated
03/16/2021
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