Organization
KENWOD CHIROPRACTIC OFFICE
Active
Other names
TIMOTHY T. ZAKRAJSEK
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ZAKRAJSEK D.C. (OWNER)
(218) 724-6008
Entity
Organization
Contact information
Practice address
1410 KENWOOD AVE, DULUTH, MN 55811-2344
(218) 724-6008
(218) 724-4499
Mailing address
1410 KENWOOD AVE, DULUTH, MN 55811-2344
(218) 724-6008
(218) 724-4499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2398-012
WI
111N00000X
Chiropractor
Primary
2601
MN
111N00000X
Chiropractor
2876
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350035360
RR MEDICARE-TIM ZAKRAJSEK
MN
05
—
751828500
—
MN
Enumeration date
04/16/2007
Last updated
11/11/2008
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