Free National NPI Number Registry
Sharon Marie Koep Dickey
Home > Sharon Marie Koep Dickey
NPI Number Detailed Information
Provider Information:
| Name: | Sharon Marie Koep Dickey |
| Gender: | F |
| Provider License Number If Given: | R0962504 |
NPI Information:
| NPI: | 1184618688 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 10/22/2015 |
Provider Business Mailing Address:
| Address: | 19425 EVANS ST NW Elk River, MN 55330 |
| Phone Number: | |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 19425 EVANS ST NW Elk River, MN 55330 |
| Phone Number: | 7633897686 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 363LF0000X |
| Secondary (if any): | |
| State: | MN |
