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NPI Code Detail

MEDICARE: DANIEL BOLLINGBERG DC

MEDICARE:   DANIEL  BOLLINGBERG  DC
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
1111N00000XChiropractor7205MN

General Provider Information

NPI Number : 1801650452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL BOLLINGBERG DC
Provider Business Mailing Address
First Line : 704 W OAKLAND AVE
Second Line :
City : AUSTIN
State : MN
Zip : 55912-2318
Country : US
Telephone Number : 507-433-4013
Fax Number : 507-433-4026
Provider Business Practice Location Address
First Line : 704 W OAKLAND AVE
Second Line :
City : AUSTIN
State : MN
Zip : 55912-2318
Country : US
Telephone Number : 507-433-4013
Fax Number : 507-433-4026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2024
Last Update Date : 02/13/2024

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Directions to “ DANIEL BOLLINGBERG DC” Practice Location

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