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Individual

DR. JOSHUA R RICKERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
16197 MAIN AVE SE, PRIOR LAKE, MN 55372-1704
(952) 226-5100
(952) 516-5240
Mailing address
16197 MAIN AVE SE, PRIOR LAKE, MN 55372-1704
(952) 226-5100
(952) 516-5240

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5230
MN

Other

Enumeration date
05/01/2009
Last updated
11/26/2012
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