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Individual

DAVID GENE NESSETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
235 BROADWAY AVE SOUTH, COKATO, MN 55321
(320) 286-6336
(320) 286-6337
Mailing address
PO BOX 818, COKATO, MN 55321-0818
(320) 286-6336
(320) 286-6337

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4713
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0151215003
PRIME WEST
01
112257
HEALTH PARTNERS
01
199G0NE
BCBS
MN
05
218659400
MN
01
4451330
MEDICA
MN
Enumeration date
08/09/2006
Last updated
07/08/2007
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