Individual
DR. SEAN DANIEL NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 W 78TH ST STE 100, CHANHASSEN, MN 55317-4525
(952) 934-1772
(952) 934-3114
Mailing address
470 W 78TH ST STE 100, CHANHASSEN, MN 55317-4525
(952) 934-1772
(952) 934-3114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4015
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5991285-00
—
MN
01
—
70B64NE
BCBS OF MINNESOTA
MN
Enumeration date
06/20/2006
Last updated
03/11/2021
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