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Contact Information

DEANNA J DIEBOLD, MD
3366 OAKDALE AVE N STE 401
ROBBINSDALE, MN55422-2986
 Phone: 635-202-9407
 Fax: 763-520-2943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEANNA J DIEBOLD · (Female)

NPI Number 1235166737
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2006
Last updated 07/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 37330
  • IA Medicaid 0598920
  • MN Medicaid 315812800
  • MT Medicaid 0147135
  • WI Medicaid 32297100
  • MN Other 887653 ARAZ
  • MN Other 510K9DI BCBS
  • MN Other HP19625 HEALTHPARTNERS
  • MN Other 04-07870 MEDICA CHOICE
  • MN Other 04-00123 MEDICA PRIMARY
  • MN Other 114004 UCARE
Hospital affiliation(s)
  • MAPLE GROVE HOSPITAL - (Acute Care)
    9875 HOSPITAL DRIVE
    MAPLE GROVE, MN 55369
  • NORTH MEMORIAL MEDICAL CENTER - (Acute Care)
    3300 OAKDALE NORTH
    ROBBINSDALE, MN 55422
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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