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Individual

JOSHUA BRUNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
109 SAINT OLAF AVE S, CANBY, MN 56220-1432
(507) 223-5304
Mailing address
109 SAINT OLAF AVE S, CANBY, MN 56220-1432
(507) 223-5304

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1245
SD
111N00000X
Chiropractor
Primary
6413
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609207364
MN
Enumeration date
12/06/2013
Last updated
03/10/2021
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