Provider Demographics
NPI:1881804755
Name:DALIGGA, EMILY M (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:M
Last Name:DALIGGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:ZUMBROTA
Mailing Address - State:MN
Mailing Address - Zip Code:55992-1180
Mailing Address - Country:US
Mailing Address - Phone:507-732-7314
Mailing Address - Fax:507-732-7610
Practice Address - Street 1:1350 JEFFERSON DR
Practice Address - Street 2:
Practice Address - City:ZUMBROTA
Practice Address - State:MN
Practice Address - Zip Code:55992-1180
Practice Address - Country:US
Practice Address - Phone:507-732-7314
Practice Address - Fax:507-732-7610
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN52188208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics