Individual
DANIEL JOHN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., MSN, RN, PHN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2140
MN
163W00000X
Registered Nurse
Primary
2209618
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237227400
—
MN
01
—
26492WI
BLUE CROSS BLUE SHIELD
MN
01
—
350017330
RAIL ROAD MEDICARE
MN
01
—
4411725
CHIROCARE
MN
Enumeration date
04/24/2007
Last updated
12/23/2024
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