Individual
ELLIE SUE DIERCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 FAIRVIEW BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
21880 COUNTY 9 BLVD, GOODHUE, MN 55027-8233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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