Individual
DALE R SCHIBONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7435 CHURCH RD, BRAINERD, MN 56401-6461
(218) 825-0427
Mailing address
7435 CHURCH ROAD, BRAINERD, MN 56401
(218) 825-0427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MP
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010860
PREFERRED ONE
MN
01
—
114950
HEALTH PARTNERS
MN
01
—
167865
UCARE
MN
01
—
6202834
MEDICA
MN
01
—
7B836SC
BCBS
MN
Enumeration date
07/27/2006
Last updated
01/08/2008
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