| Wulff Chiropractic Inc. | |
|
9678 Colorado Ln N Brooklyn Park MN 55445-2385 | |
| (763) 391-9484 | |
| (763) 391-9425 |
| Full Name | Wulff Chiropractic Inc. |
|---|---|
| Speciality | Chiropractor - Internist |
| Location | 9678 Colorado Ln N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Joel Bruce Wulff (PRESIDENT) |
| Authorized Official Contact | 7633919484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wulff Chiropractic Inc. 9678 Colorado Ln N Brooklyn Park MN 55445-2385 Ph: (763) 391-9484 | Wulff Chiropractic Inc. 9678 Colorado Ln N Brooklyn Park MN 55445-2385 Ph: (763) 391-9484 |
| NPI Number | 1124215728 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124215728 | NPI | - | NPPES |
| 4C708CH | Other | MN | BCBS |
| 4C708CH | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2692 (Minnesota) | Secondary |
| 111NI0900X | Chiropractor - Internist | 2692 (Minnesota) | Primary |
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