Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 53131 | MN |
N | 111NI0900X | Internist | 53131 | MN |
Y | 207RH0002X | Hospice and Palliative Medicine | 53131 | MN |
NPI | 1194955880 |
---|---|
Provider Name | Deirdre R Pachman |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2009 |
Last Update Date | 19/08/2020 |