Individual
DR. JULIE A PERREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6361 MAIN ST, NO BRANCH, MN 55056
(651) 674-4833
(651) 674-5847
Mailing address
6361 MAIN ST, PO BOX 782, NO BRANCH, MN 55056
(651) 674-4833
(651) 674-5847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4230
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065880400
—
MN
01
—
142T1PE
BCBSM
MN
01
—
627705
ACN CHIRO CARE
MN
Enumeration date
06/20/2006
Last updated
07/12/2010
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