MEDICARE: LAURA MARIE PIRKL

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
1	111N00000X	Chiropractor	4363	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922185701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MARIE PIRKL

Provider Business Mailing Address
First Line	:	2711 COMMERCE DR NW
Second Line	:	300
City	:	ROCHESTER
State	:	MN
Zip	:	55901-3144
Country	:	US
Telephone Number	:	507-206-4660
Fax Number	:	507-206-4783

Provider Business Practice Location Address
First Line	:	2711 COMMERCE DR NW
Second Line	:	300
City	:	ROCHESTER
State	:	MN
Zip	:	55901-3144
Country	:	US
Telephone Number	:	507-206-4660
Fax Number	:	507-206-4783

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	01/13/2016

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Directions to “ LAURA MARIE PIRKL ” Practice Location

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