Individual
DR. LANNY ROSS GABBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2402 12TH AVE W, WILLISTON, ND 58801-3203
(701) 870-2225
Mailing address
2402 12TH AVE W, WILLISTON, ND 58801-3203
(701) 870-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
526
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17214
—
ND
Enumeration date
05/06/2006
Last updated
03/01/2010
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