Individual
GERALD PRILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1118 E SUPERIOR ST, DULUTH, MN 55802-2217
(218) 728-3639
(218) 728-2603
Mailing address
1118 E SUPERIOR ST, DULUTH, MN 55802-2217
(218) 728-3639
(218) 728-2603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2330
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350051049
RAILROAD MEDICARE
MN
05
—
509227200
—
MN
01
—
74678PR
BLUE CROSS
MN
Enumeration date
02/26/2007
Last updated
02/15/2011
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