Individual
DR. MICHAEL THOMAS HAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11919 CENTRAL AVE NE, BLAINE, MN 55434-3911
(763) 757-1660
(763) 757-4108
Mailing address
11919 CENTRAL AVE NE, BLAINE, MN 55434-3911
(763) 757-1660
(763) 757-4108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2654
MN
111N00000X
Chiropractor
761
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231218
ACN
MN
05
—
2732289-00
—
MN
01
—
62396HA
BCBS
MN
Enumeration date
03/09/2007
Last updated
07/09/2010
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