Individual
BRUCE H LIESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
100 MAIN STREET SOUTH, LONSDALE, MN 55046-0162
(507) 744-5514
(507) 744-5513
Mailing address
100 MAIN STREET SOUTH PO BOX 162, LONSDALE, MN 55046-0162
(507) 744-5514
(507) 744-5513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003501
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081322200
—
MN
Enumeration date
11/02/2006
Last updated
11/16/2012
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