Individual
MR. COREY ROBERT BIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N/A
Contact information
Practice address
1309 E 141ST ST, BURNSVILLE, MN 55337-4737
(651) 347-9444
Mailing address
1309 E 141ST ST, BURNSVILLE, MN 55337-4737
(651) 347-9444
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
10/08/2019
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