Individual
DR. TERRY KEVIN KOWALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2751 HENNEPIN AVE, STE. 311, MINNEAPOLIS, MN 55408-1002
(612) 284-4535
Mailing address
6423 COLONY WAY, #2D, EDINA, MN 55435-2259
(952) 956-2305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5136
MN
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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