CONNIE I DIERCKS

SAINT PAUL, MN
NPI1548221575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MN  CNM0216)
Enumeration Date2006-03-29
Last Update Date2015-03-27
Business Address
-- CONNIE I DIERCKS CNM
555 CEDAR ST
SAINT PAUL, MN 55101-2209
Phone number: 651-266-1255
Mailing Address
-- CONNIE I DIERCKS CNM
3821 E 26TH ST
MINNEAPOLIS, MN 55406-1857
Phone number: 612-729-3059
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