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Individual

DR. DARRICK W PROEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1027
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
5140
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL1859
MN

Other

Enumeration date
06/24/2013
Last updated
08/31/2023
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