Individual
THOMAS K O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
80 SUMMIT AVE W, BLACKDUCK, MN 56630
(218) 835-2273
(218) 835-2273
Mailing address
PO BOX 2, BLACKDUCK, MN 56630-0002
(218) 835-2273
(218) 835-2273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2507
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261228300
—
MN
Enumeration date
03/09/2007
Last updated
03/09/2011
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