Individual
DR. JANELLE ALISE BECKER-PUKLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7975 STONE CREEK DRIVE, #20, CHANHASSEN, MN 55317
(952) 746-8150
(952) 746-8252
Mailing address
7975 STONE CREEK DRIVE, #20, CHANHASSEN, MN 55317
(952) 746-8150
(952) 746-8152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C861BE
BCBS PROVIDER NUMBER
MN
05
—
937319500
—
MN
Enumeration date
10/17/2006
Last updated
09/15/2015
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