Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dirck Anthony Rilla, CCP

Individual provider Perfusionist · NPI 1720410293

Dirck Anthony Rilla, CCP is a Perfusionist in Minneapolis, Minnesota. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
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Practice location Address checks out

2545 Chicago Ave Ste 417
Minneapolis, MN 55404-4522
Phone: (612) 977-2030
Fax: (612) 977-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X · Licence 214-000199 (IL)

Record details

NPI number1720410293
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013
Mailing address2545 Chicago Ave, Suite 417, Minneapolis, MN 55404-4522

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