Individual
DR. COOPER DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2221 W RUSSELL ST, SIOUX FALLS, SD 57104-1105
(605) 799-7579
Mailing address
2221 W RUSSELL ST, SIOUX FALLS, SD 57104-1105
(605) 799-7579
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1375
SD
111N00000X
Chiropractor
6630
MN
Other
Enumeration date
12/23/2019
Last updated
09/21/2020
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