Individual
DR. ERIC LEIGH TESSMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11276 210TH W ST 109, LAKEVILLE, MN 55044-6011
(952) 469-3443
(952) 469-3473
Mailing address
11276 210TH ST W STE 109, LAKEVILLE, MN 55044-6011
(952) 469-3443
(952) 469-3473
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
4367
MN
111NX0100X
Occupational Health Chiropractor
Primary
4367
MN
111NX0800X
Orthopedic Chiropractor
4367
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056G6IN
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/05/2007
Last updated
07/30/2015
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