Imdieke, Mary Elizabeth
Imdieke, Mary Elizabeth is an individual health care provider with primary practice located at 515 Delaware St Se Cleft Palate Clinic - 6Th Floor Moos Tower, Minneapolis MN 55455-0357. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Imdieke, Mary Elizabeth can be contacted via phone (612) 625-2495.Contact Information
Primary practice address
515 Delaware St Se Cleft Palate Clinic - 6Th Floor Moos Tower
Minneapolis MN 55455-0357
Phone: (612) 625-2495
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | D11276 | Minnesota |
Profile Details
| NPI number | 1023180023 |
|---|---|
| LBN Legal business name | Imdieke, Mary Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Aug 14th, 2007 - about 18 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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