Individual
MR. RANDY J JURGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1507 JEFFERSON ST SE, SUITE 1, HUTCHINSON, MN 55350
(320) 587-2215
(320) 587-4963
Mailing address
1507 JEFFERSON ST SE, SUITE 1, HUTCHINSON, MN 55350
(320) 587-2215
(320) 587-4963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3383
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0303
PREFERRED ONE
MN
01
—
03071156
PRIMEWEST
MN
05
—
344727800
—
MN
01
—
416492435
MEDICA
MN
01
—
54F02JU
BLUE CROSS BLUE SHIELD
MN
01
—
603860
ACN CHIROCARE
MN
Enumeration date
06/20/2006
Last updated
12/27/2010
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