Provider Demographics
NPI:1730652132
Name:RIEHLE, DILLON ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:DILLON
Middle Name:ANDREW
Last Name:RIEHLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 W 82ND ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1304
Mailing Address - Country:US
Mailing Address - Phone:715-212-1064
Mailing Address - Fax:
Practice Address - Street 1:7920 MITCHELL RD
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-2218
Practice Address - Country:US
Practice Address - Phone:952-345-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor