Trevor John Diercks, DO

NPI #1952864076 in Two Harbors, Minnesota

Provider Information

NPI Number: 1952864076
Entity Type: Individual
Name: Trevor John Diercks, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Apr 8, 2019
Last Updated: Aug 8, 2022

Practice Location

Address: 325 11TH AVE
City: Two Harbors
State: Minnesota
ZIP Code: 55616-1300
Phone: (218) 249-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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