Individual
MR. DAN P BILDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR
Contact information
Practice address
1633 ROBERT ST S STE B, SAINT PAUL, MN 55118-3973
(651) 451-6839
Mailing address
4640 WINNETKA AVE N, NEW HOPE, MN 55428-4933
(715) 554-1763
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6629
MN
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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