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Dr. Barry William Bicanich, DC
Chiropractor in Minneapolis, Minnesota
NPI 1568560860

Barry William Bicanich is a Chiropractor based in Saint Paul, MN. Barry William Bicanich practices in Minneapolis, MN and has the professional credentials of DC. The NPI Number for Barry William Bicanich is 1568560860 and holds a License No. 2106 (Minnesota).

The current practice location address for Barry William Bicanich is 3404 University Ave Se # 3406, Minneapolis, MN and can be reached out via phone at 612-331-4529 and via fax at 612-331-4148.

Location: 3404 University Ave Se # 3406, Minneapolis, MN, 55120-1313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568560860
Provider Name
Barry William Bicanich
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3404 University Ave Se # 3406, Minneapolis, MN, 55120-1313
Phone Number
612-331-4529
Fax Number
612-331-4148
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29320BI 01 MN BLUE CROSS PIN
01448BI 01 MN BLUE CROSS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
3404 University Ave Se # 3406
City
Minneapolis
State
Minnesota
Zip
55414-3328
Phone Number
612-331-4529
Fax Number
612-331-4148
person
Provider Business Mailing Address Details
Address
3404 University Ave Se # 3406
City
Minneapolis
State
Minnesota
Zip
55414-3328
Phone Number
612-331-4529
Fax Number
612-331-4148
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2106 (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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