Organization
DYNAMIC HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BICKLE L.AC. (OWNER/OPERATOR)
(612) 710-7415
Entity
Organization
Contact information
Practice address
6121 EXCELSIOR BLVD, SUITE 205, SAINT LOUIS PARK, MN 55416-2725
(612) 710-7415
Mailing address
6121 EXCELSIOR BLVD, SUITE 205, SAINT LOUIS PARK, MN 55416-2725
(612) 710-7415
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1517
MN
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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