Individual provider · Type 1 NPI
Russell S. Derhak, DC
Chiropractor · Brooklyn Park, MN
NPI number
1194856583
Active
Practice location
4630 97th Ave N
Brooklyn Park, MN 55443-4027
Fax (763) 425-2417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4717 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1194856583
Russell S. Derhak, DC's National Provider Identifier is 1194856583, issued on Mar 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brooklyn Park, MN. The record was last updated on Jul 8, 2007.