Individual
DR. TERRY ANN KISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
121 DIVISION ST., MAPLE LAKE, MN 55358
(320) 963-6003
(320) 963-7003
Mailing address
121 DIVISION ST., PO BOX 71, MAPLE LAKE, MN 55358
(320) 963-6003
(320) 963-7003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4633
MN
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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