Organization
SPINE AND SPORT CHIROPRACTIC
Active
Other names
R.E. Kranz Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DARRICK A DIERKHISING D.C. (OWNER)
(651) 439-6500
Entity
Organization
Contact information
Practice address
1058 CURVE CREST BLVD W, STILLWATER, MN 55082-6056
(651) 439-6500
(651) 439-6501
Mailing address
1058 CURVE CREST BLVD W, STILLWATER, MN 55082-6056
(651) 439-6500
(651) 439-6501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1462
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600275
—
MN
Enumeration date
05/18/2007
Last updated
05/08/2019
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