Individual
DR. JEREMY MICHAEL TUPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
201 MAIN ST E, NEW PRAGUE, MN 56071-1832
(952) 758-5135
(952) 758-5179
Mailing address
201 MAIN ST E, NEW PRAGUE, MN 56071-1832
(952) 758-5135
(952) 758-5179
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3360
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00936RE
BCBS
MN
01
—
01B28TU
BCBS
MN
01
—
205127900
US DEPT OF LABOR
—
01
—
350039145
RAILROAD MEDICARE
—
01
—
606436
ACN
MN
05
—
895364300
—
MN
Enumeration date
11/07/2006
Last updated
11/18/2011
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