Vickie L Dennis
Obstetrician & Gynecologist
415 Jefferson St North
Wadena
, Minnesota 56482-1296
Vickie L Dennis
Obstetrician & Gynecologist
415 Jefferson St North
Wadena
, Minnesota 56482-1296
(218) 631-7507
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Vickie L Dennis
- 415 Jefferson St North
- Wadena, MN
- Zip : 56482-1296
- Fax : (218) 631-7507
- Phone : (218) 631-3510
Second Address
- Vickie L Dennis
- 415 Jefferson St North
- Wadena, MN
- Zip : 56482-1296
- Fax : (218) 631-7507
- Phone : (218) 631-3510
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 29545 | MN |
National Provider Identifier
| NPI | 1013908961 |
|---|---|
| Provider Name | Vickie L Dennis |
| First Address | Wadena, MN 56482-1296 |
| Second Address | Wadena, MN 56482-1296 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2005 |
| Last Update Date | 11/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0702775 | MEDICA HEALTH PLANS (01) | |
| 110425 | U CARE (01) | |
| 160037460 | RR MEDICARE (01) | |
| 2114073 | FIRST HEALTH PLAN (01) | |
| 254013 | PREFERRED ONE (01) | |
| 338577900 | (05) | MN |
| 50A46DE | BLUE CROSS BLUE SHIELD (01) | |
| 596760 | ARAZ GROUP AMERICAS PPO (01) | |
| COMP | CHAMPUS (01) | |
| COMP | ONE HEALTH PLAN GREAT WES (01) | |
| E68434 | (02) | |
| HP25416 | HEALTH PARTNERS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.