| Doctor Name: | JOANN KELLY DINGMANN |
| NPI Number: | 1457672321 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPHT |
| License Number: | 5101-0701-0058-243 |
| Business Practice Address: | 99 Edison Blvd Silver Bay, MN - 556141211 |
| Business Phone Number: | 2182263829 |
| Business Fax Number: | |
| Mailing Address: | 99 Edison Blvd, SILVER BAY |
| State: | MN |
| Postal Code: | 556141211 |
| Phone Number: | 2182263829 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2010 |
| NPI Last Update Date: | 06/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 5101-0701-0058-243 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |