Dyrstad, Marvin Leroy

Dyrstad, Marvin Leroy is an individual health care provider with primary practice located at 910 W 6Th St , Red Wing MN 55066-2432. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dyrstad, Marvin Leroy can be contacted via phone (651) 388-6883.

Contact Information

Primary practice address
910 W 6Th St Red Wing MN 55066-2432
Phone: (651) 388-6883
Fax: (651) 388-6796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 110761-4 Minnesota

Profile Details

NPI number 1215937099
LBN Legal business name Dyrstad, Marvin Leroy
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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