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Organization

HOPKINS CHIROPRACTIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY THOMAS GULLICKSON DC (OWNER)
(651) 206-5047
Entity
Organization

Contact information

Practice address
17 10TH AVE S, HOPKINS, MN 55343-7505
(651) 206-5047
Mailing address
17 10TH AVE S, HOPKINS, MN 55343-7505
(651) 206-5047

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2937
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306919998
CURRENT FACILITY NPI
MN
Enumeration date
06/09/2016
Last updated
06/09/2016
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