Individual
DOUGLAS L PERNULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7500 FRANCE AVE S, EDINA, MN 55435-3400
(612) 835-1311
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002902
MN
111N00000X
Chiropractor
526
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
727528500
—
MN
Enumeration date
03/29/2006
Last updated
03/11/2021
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