Individual
DR. CORY DEAN COUILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, ATC
Contact information
Practice address
20176 HERITAGE DR, LAKEVILLE, MN 55044-6855
(952) 594-2796
(952) 469-1713
Mailing address
20176 HERITAGE DR, LAKEVILLE, MN 55044-6855
(952) 594-2796
(952) 469-1713
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4869
MN
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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