Individual
MARIAH LYNN BOKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
600 TWELVE OAKS CENTER DR STE 640, WAYZATA, MN 55391-4502
(952) 378-1085
Mailing address
600 TWELVE OAKS CENTER DR STE 640, WAYZATA, MN 55391-4502
(952) 378-1085
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6967
MN
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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