Doc Djr PC

NPI #1336515550 in Blaine, Minnesota

Provider Information

NPI Number: 1336515550
Entity Type: Organization
Organization Name: Doc Djr PC
Primary Specialty: Chiropractor
Enumeration Date: Aug 12, 2015
Last Updated: Aug 18, 2015

Practice Location

Address: 13060 CENTRAL AVE NE
Address 2: #100
City: Blaine
State: Minnesota
ZIP Code: 55434-4149
Phone: (763) 566-8023

Authorized Official

Name: MR. DANIEL JAMES RICHTER, D.C.
Title: PRESIDENT/OWNER
Phone: (763) 566-8023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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