Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2043 | MN |
NPI | 1003077264 |
---|---|
Provider Name | Dr. Michael Jay Przeslawski |
First Address | Bloomington, MN 55431-1602 |
Second Address | Bloomington, MN 55431-1602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2008 |
Last Update Date | 20/06/2008 |