Individual
DR. CULLEN FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16197 MAIN AVE SE, PRIOR LAKE, MN 55372-1704
(815) 245-1018
Mailing address
300 S JACKSON ST, STE 105, DENVER, CO 80209-3131
(303) 474-4811
(720) 750-6604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6403
MN
111N00000X
Chiropractor
CHR.0007951
CO
Other
Enumeration date
11/29/2017
Last updated
03/16/2020
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