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Individual

DR. DANIEL SIMEON LUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
620 CIVIC HEIGHTS DR, STE 108, CIRCLE PINES, MN 55014-4711
(763) 795-8300
(763) 795-8302
Mailing address
620 CIVIC HEIGHTS DR, STE 108, CIRCLE PINES, MN 55014-4711
(763) 795-8300
(763) 795-8302

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003573
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00B20LU
BLUECROSS BLUESHIELD
MN
01
1501695
FIRST HEALTH
MN
05
569713100
MN
Enumeration date
08/12/2005
Last updated
11/15/2017
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