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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TREVOR JOHN DIERCKS, DO

Active

TREVOR JOHN DIERCKS, DO is a Family Medicine healthcare provider located in TWO HARBORS, Minnesota. NPI 1952864076 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · TWO HARBORS, MN

Registration Details

NPI Number
1952864076
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2019 (7.3547148753339 yrs)
Last Updated
Aug 8, 2022
Licenses
74574 (WI)
7908 (WI)
72290 (MN)

Practice Information

Address
325 11TH AVE
TWO HARBORS, MN, 556161300
Browse MN providers · Browse ZIP 55616
Phone
2182495555
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in TWO HARBORS, MN

Name Credential NPI
DR. DEBBIE ANNE ALLERT M.D. 1205861051
DR. HOWARD Y JOSEPHS M.D. 1033144894
DR. SHAWN PATRICK MCMAHON M.D. 1871528646
DR. THOMAS ANDREW PETERSON M.D. 1104851971
LEE JEFFREY COHEN MD 1487671053
KELSEY MAY SCHULTZ M.D. 1578827150
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.