Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5264 | MN |
N | 111N00000X | Chiropractor | 5466 | KY |
N | 111NI0013X | Independent Medical Examiner | 877 | MN |
NPI | 1003148842 |
---|---|
Provider Name | Dr. Crystal A Pfisterer |
First Address | Bloomington, MN 55431-1961 |
Second Address | Minnetonka, MN 55345-5839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2010 |
Last Update Date | 27/10/2018 |