Individual
MR. ROBERT T THIRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1608 W 155TH ST, BURNSVILLE, MN 55306-5308
(612) 695-4890
Mailing address
PO BOX 3047, BURNSVILLE, MN 55337-8047
(612) 695-4890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1472
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29064TH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/17/2006
Last updated
12/09/2013
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