Individual
DR. DANIELLE KALLIN BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
11185 LAKE BLVD, STE 208, CHISAGO CITY, MN 55013-9826
(651) 257-3914
Mailing address
11185 LAKE BLVD, STE 208, CHISAGO CITY, MN 55013-9826
(651) 257-3914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3384
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125320400
—
MN
01
—
147R0BR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/06/2007
Last updated
07/31/2017
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