Individual
DR. JOHN WILLIAM PEPELNJAK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1522 E SUPERIOR ST, DULUTH, MN 55812-1634
(218) 724-4077
(218) 724-3045
Mailing address
1522 E SUPERIOR ST, DULUTH, MN 55812-1634
(218) 724-4077
(218) 724-3045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4561
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338L6PE
TWO HARBORS BCBS
—
05
—
38959800
—
WI
01
—
443L0PE
DULUTH BCBS
—
01
—
7640075
MN TIN
—
Enumeration date
05/21/2007
Last updated
07/09/2007
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