Dillman Clinic & Lab, Inc | |
11175 205th St W Lakeville MN 55044-9827 | |
(952) 388-1212 | |
Not Available |
Full Name | Dillman Clinic & Lab, Inc |
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Speciality | Internal Medicine |
Location | 11175 205th St W, Lakeville, Minnesota |
Authorized Official Name and Position | Megan Dillman (OWNER) |
Authorized Official Contact | 9523881212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dillman Clinic & Lab, Inc 11175 205th St W Lakeville MN 55044-9827 Ph: (952) 388-1212 | Dillman Clinic & Lab, Inc 11175 205th St W Lakeville MN 55044-9827 Ph: (952) 388-1212 |
NPI Number | 1316695703 |
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Provider Enumeration Date | 03/15/2022 |
Last Update Date | 09/22/2023 |
Medicare PECOS PAC ID | 8325426596 |
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Medicare Enrollment ID | O20220531000263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316695703 | NPI | - | NPPES |
Provider Name | Megan R Dillman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891178448 PECOS PAC ID: 0941579163 Enrollment ID: I20190719000529 |
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