Individual
DR. PATRICK STEVEN KUNERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
304 PINE ST, BOX 8, NICOLLET, MN 56074
(507) 232-2789
(507) 232-2790
Mailing address
304 PINE ST, BOX 8, NICOLLET, MN 56074
(507) 232-2789
(507) 232-2790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1752
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4571804
MN TAX ID
MN
01
—
48473KU
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/07/2005
Last updated
07/08/2007
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