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Individual

DR. GREGORY DALE RUMMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
705 E MAIN AVE, BISMARCK, ND 58501-4525
(701) 258-9418
Mailing address
8505 WELLE LOOP, BISMARCK, ND 58503-5001

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
692
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13606
ND
01
24739
BLUE CROSS SHIELD
ND
Enumeration date
01/29/2007
Last updated
05/11/2011
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