Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIBLI OLANDRUS DICKSON, MANAGER
ActiveMR. TIBLI OLANDRUS DICKSON, MANAGER is a 376G00000X healthcare provider located in CHAMPLIN, Minnesota. NPI 1003615030 is currently active in the NPPES registry. Verify at CMS.
376G00000X · CHAMPLIN, MN
Registration Details
- NPI Number
- 1003615030
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2025 (1.4625328876029 yrs)
- Last Updated
- Mar 11, 2025
Practice Information
- Address
-
7400 122ND AVE NCHAMPLIN, MN, 553162127Browse MN providers · Browse ZIP 55316
- Phone
- 6128656220
- Primary Specialty
-
376G00000X
376G00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.