Individual
DANIELLE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14859 ENERGY WAY, APPLE VALLEY, MN 55124-5763
(952) 432-3333
Mailing address
1562 IVY AVE E, SAINT PAUL, MN 55106-2228
(218) 851-0745
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7157
MN
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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