Individual
DR. BRENDA WEIERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
PO BOX 237, 386 BENCH ST, TAYLORS FALLS, MN 55084-0237
(651) 465-3811
(651) 455-8107
Mailing address
PO BOX 237, TAYLORS FALLS, MN 55084-0237
(651) 465-3811
(651) 455-8107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2414
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59687 SO
BCBS
MN
05
—
722028600
—
MN
Enumeration date
09/24/2006
Last updated
06/18/2024
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