Individual
DR. JAMES MICHAEL GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
501 4TH ST S, PRINCETON, MN 55371-2031
(763) 389-4411
(763) 389-4412
Mailing address
501 4TH ST S, PRINCETON, MN 55371-2031
(763) 389-4411
(763) 389-4412
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4706
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
392G6GI
BLUE CROSS PROVIDER NUMBE
MN
Enumeration date
11/14/2006
Last updated
07/08/2007
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