Individual
BOBBI JO VANDENDRIESSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 CARLSON ST, MARSHALL, MN 56258-2626
(507) 532-1101
(507) 532-1137
Mailing address
1521 CARLSON ST, MARSHALL, MN 56258-2626
(507) 532-1101
(507) 532-1137
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP4205
MN
Other
Enumeration date
10/02/2015
Last updated
11/02/2015
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