Organization
OTSEGO WEST CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS STULL DC (PRESIDENT)
(763) 229-2552
Entity
Organization
Contact information
Practice address
16201 90TH ST NE, SUITE 205, OTSEGO, MN 55330-7438
(763) 229-2552
Mailing address
16201 90TH ST NE, SUITE 205, OTSEGO, MN 55330-7438
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4775
MN
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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