Individual
BREANNA JUNE DOROTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6041 MAIN ST STE E, NORTH BRANCH, MN 55056-6595
(651) 674-5040
(920) 982-6461
Mailing address
5436 209TH LN NE, WYOMING, MN 55092-9474
(920) 203-6562
(920) 982-6461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4625-012
WI
111N00000X
Chiropractor
Primary
6042
MN
Other
Enumeration date
06/17/2010
Last updated
05/23/2019
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