Healthcare Provider Details

I. General information

NPI: 1275306102
Provider Name (Legal Business Name): BIERMAIER CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2023
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 UNIVERSITY AVE
CROOKSTON MN
56716-1164
US

IV. Provider business mailing address

1226 UNIVERSITY AVE
CROOKSTON MN
56716-1164
US

V. Phone/Fax

Practice location:
  • Phone: 218-281-6311
  • Fax:
Mailing address:
  • Phone: 218-281-6311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. LUKAS BIERMAIER
Title or Position: MEMBER, OWNER, CHIROPRACTIC DOCTOR
Credential: DC
Phone: 218-281-6311