Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 4244 | MN |
NPI | 1538363429 |
---|---|
Provider Name | David Lehman Tinker |
First Address | Minneapolis, MN 55412-1801 |
Second Address | Minneapolis, MN 55412-1801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 19/12/2007 |