Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 4017 | MN |
NPI | 1245315399 |
---|---|
Provider Name | Dr. Kevin Joseph Schreifels |
First Address | Minneapolis, MN 55408-2171 |
Second Address | Minneapolis, MN 55408-2171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |