Organization
TELIC FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW TRAPPER KUECHER D.C. (CEO)
(218) 828-4166
Entity
Organization
Contact information
Practice address
19157 SODER ROAD, BRAINERD, MN 56401
(218) 828-4166
(218) 828-4496
Mailing address
19157 SODER ROAD, BRAINERD, MN 56401
(218) 828-4166
(218) 828-4496
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
714
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129754
HEALTH PARTNERS
MN
01
—
44-5229
MEDICA
MN
01
—
527P6TE
BCBS OF MN
MN
01
—
DF0095
RAILROAD MEDICARE
MN
Enumeration date
08/18/2006
Last updated
03/04/2014
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