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Individual
DR. WILLIAM GEORGE KULLBERG
Active
Individual
DR. WILLIAM GEORGE KULLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001587
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001587
MINNESOTA CHIRO LIC #
MN
01
—
08417KU
BCBS CONTRACT PROVIDER #
MN
01
—
68093KU
INDIVIDUAL PROVIDER #
MN
Enumeration date
11/27/2006
Last updated
07/08/2007
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