Individual
DR. JACK LEWIS DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
707 WEST BROADWAY, FOREST LAKE, MN 55025-1408
(651) 464-4199
(651) 464-4202
Mailing address
707 WEST BROADWAY, FOREST LAKE, MN 55025-1408
(651) 464-4199
(651) 464-4202
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1337
MN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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