Individual
ANNA DITTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8000
Mailing address
3922 PAUNACK AVE, MADISON, WI 53711-1623
(608) 556-1496
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2481741
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2487
MN
Other
Enumeration date
05/19/2020
Last updated
02/10/2023
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