Individual
MICHAEL E DIEPERINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3161
(612) 904-4232
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6005
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39319
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00237766
MEDICARE RAILROAD
MN
Enumeration date
10/03/2006
Last updated
12/05/2007
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