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NPI Code Detail

MEDICARE: DR. DAVID JOSEPH CZECK DAVID CZECK, D.C.

MEDICARE:  DR. DAVID JOSEPH CZECK  DAVID CZECK, D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1181MN

General Provider Information

NPI Number : 1184790388
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID JOSEPH CZECK DAVID CZECK, D.C.
Provider Business Mailing Address
First Line : 2895 LAKE BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55109-1620
Country : US
Telephone Number : 651-770-5441
Fax Number :
Provider Business Practice Location Address
First Line : 2895 LAKE BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55109-1620
Country : US
Telephone Number : 651-770-5441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID JOSEPH CZECK DAVID CZECK, D.C.” Practice Location

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