Individual
DIRCK ANTHONY RILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
2545 CHICAGO AVE, SUITE 417, MINNEAPOLIS, MN 55404-4522
(612) 977-2030
(612) 977-2017
Mailing address
2545 CHICAGO AVE, SUITE 417, MINNEAPOLIS, MN 55404-4522
(612) 977-2030
(612) 977-2017
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
214-000199
IL
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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