Individual
DR. DAVID L TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
111 14TH ST NE, STE E, ROCHESTER, MN 55906-7058
(507) 289-5669
(507) 292-8913
Mailing address
111 14TH ST NE, STE E, ROCHESTER, MN 55906-7058
(507) 289-5669
(507) 292-8913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1779
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59899BR
BLUE CROSS
MN
05
—
774827200
—
MN
Enumeration date
07/31/2006
Last updated
02/04/2010
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