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Individual
DR. JEREMY MICHAEL TUPY
Active
Individual
DR. JEREMY MICHAEL TUPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3360
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00936RE
BCBS
MN
01
—
01B28TU
BCBS
MN
01
—
205127900
US DEPT OF LABOR
—
01
—
350039145
RAILROAD MEDICARE
—
01
—
606436
ACN
MN
05
—
895364300
—
MN
Enumeration date
11/07/2006
Last updated
11/18/2011
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