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Individual

DR. BRENT EDWIN TIERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
13324 BASS LAKE RD, MAPLE GROVE, MN 55311-4540
(763) 568-7869
(763) 568-7872
Mailing address
13324 BASS LAKE RD, MAPLE GROVE, MN 55311-4540
(763) 568-7869
(763) 568-7872

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5351
MN

Other

Enumeration date
10/18/2010
Last updated
12/30/2020
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