Individual
DR. DARCIA M DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147001331
IL
231H00000X
Audiologist
214
NE
231H00000X
Audiologist
Primary
9260
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0585323
—
IA
05
—
0585349
—
IA
01
—
06633
BCBS BT
NE
01
—
06634
BCBS ENT
NE
05
—
1585323
—
IA
05
—
1585349
—
IA
05
—
2585349
—
IA
05
—
3585323
—
IA
05
—
3585349
—
IA
05
—
4585323
—
IA
05
—
5585323
—
IA
05
—
6585323
—
IA
05
—
7585323
—
IA
05
—
8285323
—
IA
05
—
9585323
—
IA
Enumeration date
01/03/2007
Last updated
04/11/2022
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