Healthcare Provider Details

I. General information

NPI: 1366566069
Provider Name (Legal Business Name): DEAN HOWARD TURNQUIST R.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 03/04/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5068 ANDERSON RD
HERMANTOWN MN
55811-1705
US

IV. Provider business mailing address

5068 ANDERSON RD
HERMANTOWN MN
55811-1705
US

V. Phone/Fax

Practice location:
  • Phone: 218-428-7660
  • Fax:
Mailing address:
  • Phone: 218-428-7660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1773
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR1701382
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: