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Benjamin Joseph Lickteig
Chiropractor in Edina, Minnesota
NPI 1417532540

Benjamin Joseph Lickteig is a Chiropractor based in Edina, MN. Benjamin Joseph Lickteig practices in Edina, MN. The NPI Number for Benjamin Joseph Lickteig is 1417532540 and holds a License No. 6790 (Minnesota).

The current practice location address for Benjamin Joseph Lickteig is 7400 Metro Blvd Ste 222, Edina, MN and can be reached out via phone at 952-207-2186.

Location: 7400 Metro Blvd Ste 222, Edina, MN, 55439-2321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417532540
Provider Name
Benjamin Joseph Lickteig
Credential
Provider Entity Type
Individual
Gender
Male
Address
7400 Metro Blvd Ste 222, Edina, MN, 55439-2321
Phone Number
952-207-2186
Fax Number
Provider Enumeration Date
03/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7400 Metro Blvd Ste 222
City
Edina
State
Minnesota
Zip
55439-2321
Phone Number
952-207-2186
Fax Number
person
Provider Business Mailing Address Details
Address
7400 Metro Blvd Ste 222
City
Edina
State
Minnesota
Zip
55439-2321
Phone Number
952-207-2186
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
6790 (Minnesota)
Definition
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.
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