Organization
VIOLET M. DEILKE
Active
Other names
dba Centre for Hair and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIOLET MARLENE DEILKE HAIRLOSS SPECIALIST (OWNER/MANAGER)
(218) 236-6000
Entity
Organization
Contact information
Practice address
420 CENTER AVE, SUITE #14, MOORHEAD, MN 56560-1957
(218) 236-6000
(218) 284-5889
Mailing address
420 CENTER AVE, SUITE #14, MOORHEAD, MN 56560-1957
(218) 236-6000
(218) 284-5889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CO7557000
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B4G361CE
BCBS
MN
Enumeration date
01/07/2008
Last updated
07/22/2008
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