Individual
TIM ALAN SEBENALER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
119 W 4TH ST, CHASKA, MN 55318-2085
(952) 448-9908
(952) 448-9472
Mailing address
119 W 4TH ST, CHASKA, MN 55318-2085
(952) 448-9908
(952) 448-9472
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2477
MN
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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