Individual
RILEY SEAN CULLINANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1865 W WAYZATA BLVD, LONG LAKE, MN 55356-9671
(952) 473-3588
Mailing address
1105 HIAWATHA AVE APT 102, HOPKINS, MN 55343-8164
(218) 851-3422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6061
MN
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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