Organization
DYNAMIC FAMILY CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW E. LUING (OWNER)
(952) 933-2695
Entity
Organization
Contact information
Practice address
4739 COUNTY ROAD 101, MINNETONKA, MN 55345-2634
(952) 933-2695
(952) 933-2763
Mailing address
4739 COUNTY ROAD 101, MINNETONKA, MN 55345-2634
(952) 933-2695
(952) 933-2763
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3475
MN
111NR0400X
Rehabilitation Chiropractor
4012
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
325J4MI
BLUE CROSS BLUE SHIELD
MN
01
—
6C437LU
BLUE CROSS BLUE SHIELD
MN
01
—
6C438LU
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/28/2007
Last updated
03/04/2008
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