Individual
DR. JEFFREY THOMAS GULLICKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17 TENTH AVE S, HOPKINS, MN 55343-7505
(952) 927-6639
(952) 927-0178
Mailing address
17 TENTH AVE S, HOPKINS, MN 55343-7505
(952) 927-6639
(952) 927-0178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2937
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42G86GU
BC
MN
Enumeration date
05/03/2006
Last updated
07/08/2007
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