IndividualActive
Adam Dickman, CRNA
NPI 1407375967 · Certified Registered Nurse Anesthetist · Plymouth, MN
Provider details
- NPI number
- 1407375967
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 117815 (MN)
Practice location
14700 28th Ave N Ste 20
Plymouth, MN 55447-4876
Phone: (763) 559-3779
Mailing address
Po Box 47159
Plymouth, MN 55447-0159
Registry dates
- Enumerated
- 2017-09-15
- Last updated
- 2018-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.