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Organization

PDR COON RAPIDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD WALLACE GINKEL D.C. (PRESIDENT/OWNER)
(952) 908-2700
Entity
Organization

Contact information

Practice address
320 COON RAPIDS BLVD NW, #100, COON RAPIDS, MN 55433-5639
(952) 908-2580
Mailing address
11822 BREN RD, MINNETONKA, MN 55343-9464

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
MN
208100000X
Physical Medicine & Rehabilitation Physician
MN
208D00000X
General Practice Physician
MN
225100000X
Physical Therapist
MN
225X00000X
Occupational Therapist
Primary
MN

Other

Enumeration date
08/16/2006
Last updated
09/11/2025
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