Dr. Jacalyn Dicello, M.D.
Obstetrics & Gynecology, Gynecology in Burnsville, MN. Individual provider (NPI-1).
NPI number1518989656
StatusActive
Last updated in NPPESNov 21, 2011
Details
- NPI
- 1518989656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacalyn Dicello
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Nov 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 23731 | MN | Yes |
Practice location
14000 Nicollet AveSuite 100
Burnsville, MN 55337-5790
Phone 952-428-0200
Mailing address
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-262-5000
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