Individual
DR. TIFANY A BURCKHARD-TEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1825 16TH ST SW, MINOT, ND 58701-6428
(701) 838-5000
(701) 852-1184
Mailing address
1825 16TH ST SW, MINOT, ND 58701-6428
(701) 838-5000
(701) 852-1184
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
690
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19970
BLUE CROSS BLUE SHIELD
ND
Enumeration date
12/05/2006
Last updated
07/08/2007
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