Individual
PATRICK DILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 INMAN ST., HENNING, MN 56551
(218) 371-2755
Mailing address
PO BOX 182, HENNING, MN 56551-0182
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
B022062769204
MN
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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