Individual
DEBORAH GENRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
14180 COMMERCE AVE NE, PRIOR LAKE, MN 55372-1483
(952) 447-3395
(953) 447-3396
Mailing address
7415 132ND CIR, SAVAGE, MN 55378-1296
(952) 882-8581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3496
MN
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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