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Individual

DIRK J VAN OPPEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1965 FORD PKWY, SAINT PAUL, MN 55116-1923
(651) 698-2406
Mailing address
3430 LIST PL, MINNEAPOLIS, MN 55416-4559
(612) 924-9433

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17443
MN
207V00000X
Obstetrics & Gynecology Physician
4538
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6201170
SD
05
6201172
SD
Enumeration date
01/28/2006
Last updated
03/07/2023
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