Individual
DOMINIC C TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
100 2ND ST S, SARTELL, MN 56377-1977
(320) 251-2600
(320) 251-4763
Mailing address
100 2ND ST S, SARTELL, MN 56377-1977
(320) 251-2600
(320) 251-4763
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6255
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326161845
—
MN
05
—
PENDING
—
MN
Enumeration date
04/09/2007
Last updated
08/28/2013
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