Individual
SHERI LYNN DELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5284 TAYLOR ST NE, FRIDLEY, MN 55421-1857
(651) 500-1838
Mailing address
5284 TAYLOR ST NE, FRIDLEY, MN 55421-1857
(651) 500-1838
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
R558120061918
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00823837
CASE NUMBER
MN
01
—
00876171
MHCP MEMBER NUMBER
MN
01
—
X102141
WORKER ID
MN
Enumeration date
03/08/2016
Last updated
03/08/2016
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