Individual
DR. JAY DOUGLAS HILDENBRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 262-3441
(218) 362-6989
Mailing address
2406 3RD AVE W, HIBBING, MN 55746-2004
(218) 263-8898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4305
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350003966
MEDICARE
MN
05
—
839655800
—
MN
Enumeration date
02/05/2007
Last updated
12/27/2007
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