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Individual

DAVID LEE DUININCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1550 WILLMAR AVE SE, SUITE B, WILLMAR, MN 56201
(320) 235-5913
Mailing address
1550 WILLMAR AVE SE, SUITE B, WILLMAR, MN 56201-2754
(320) 235-5913

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1445
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
629327
ACN - CHIROCARE
MN
01
68094DU
BCBS MN
MN
Enumeration date
10/18/2006
Last updated
07/08/2007
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