Individual
DANIEL D PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
326 SAINT CROIX TRAIL SOUTH, LAKELAND, MN 55043-0294
(651) 436-7724
(651) 436-7724
Mailing address
PO BOX 294, LAKELAND, MN 55043-0294
(651) 436-7724
(651) 436-7724
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2473
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C786LA
BCBSM
MN
Enumeration date
03/27/2008
Last updated
03/27/2008
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