Individual
DR. JOEL ALAN FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
20700 CHIPPENDALE AVE W STE 7, FARMINGTON, MN 55024
(651) 460-9449
(612) 326-9581
Mailing address
20700 CHIPPENDALE AVE W STE 7, FARMINGTON, MN 55024-8206
(651) 460-9449
(612) 326-9581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4523
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953150500
MN-ITS PROVIDER NUMBER
MN
Enumeration date
03/23/2007
Last updated
04/17/2019
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