Individual
SCOT GUBBELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17316 KENYON AVE STE 103, LAKEVILLE, MN 55044-6910
(952) 236-0767
Mailing address
17316 KENYON AVE STE 103, LAKEVILLE, MN 55044-6910
(952) 236-0767
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6982
MN
Other
Enumeration date
05/03/2022
Last updated
01/22/2024
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