Individual
ARLEN JAY LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5685 DULUTH ST, GOLDEN VALLEY, MN 55422-4054
(763) 541-1280
(763) 541-1012
Mailing address
5801 DULUTH ST, STE 150, GOLDEN VALLEY, MN 55422-3952
(763) 541-1280
(763) 541-1012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001754
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09841LI
BCBS
MN
05
—
754727700
—
MN
Enumeration date
09/27/2005
Last updated
03/27/2017
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