Organization
VIOLET M. DEILKE
Active
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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