Individual
DR. JOSEPH BRIAN DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
201 NORTH MAIN ST., LAKE CRYSTAL, MN 56055-1300
(507) 726-2091
Mailing address
PO BOX 1300, LAKE CRYSTAL, MN 56055-1300
(507) 726-2091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2426
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C200DE
BLUE CROSS BLUE SHIELD
MN
05
—
500228100
—
MN
Enumeration date
08/28/2006
Last updated
07/09/2007
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