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Individual

DANIEL HIMMERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
775 PRAIRIE CENTER DR STE 250, EDEN PRAIRIE, MN 55344-7334
(952) 944-5314
(952) 944-0092
Mailing address
980 SADDLEBROOK CURV, CHANHASSEN, MN 55317-9025
(701) 720-5437

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10730
MN
2251S0007X
Sports Physical Therapist
10730
MN
2251X0800X
Orthopedic Physical Therapist
10730
MN

Other

Enumeration date
06/22/2017
Last updated
06/22/2017
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