Individual
MR. DENNIS MICHAEL STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
800 PRAIRIE CENTER DR, SUITE 200, EDEN PRAIRIE, MN 55344-7328
(952) 943-1188
(952) 943-1177
Mailing address
800 PRAIRIE CENTER DR, SUITE 200, EDEN PRAIRIE, MN 55344-7328
(952) 943-1188
(952) 943-1177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4775
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
697215
ACN GROUP
—
01
—
89G65ST
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/07/2006
Last updated
04/09/2008
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