Individual
MS. DIANNE G KROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5609 CHICAGO AVE, MINNEAPOLIS, MN 55417-2429
(612) 824-7012
(612) 822-8766
Mailing address
10008 MAPLE CIR, BLOOMINGTON, MN 55431-2870
(612) 388-0454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2117
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-86873
MEDICA
MN
01
—
54D34KR
BCBS
MN
05
—
823728000
—
MN
Enumeration date
01/12/2007
Last updated
09/04/2008
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