Individual
DR. JEFFREY R HYACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., D.C.
Contact information
Practice address
2626 E 82ND ST, SUITE 103, BLOOMINGTON, MN 55425-1300
(952) 854-0057
Mailing address
2626 E 82ND ST, SUITE 103, BLOOMINGTON, MN 55425-1300
(952) 854-0057
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4518
MN
Other
Enumeration date
02/12/2007
Last updated
12/05/2012
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