Individual
NONA DIETRICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3307
Mailing address
6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0647719
MN
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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