Provider Demographics
NPI:1225248925
Name:FERBER, DEAN WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:WILLIAM
Last Name:FERBER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 NW FRONTAGE ROAD
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:MN
Mailing Address - Zip Code:55920
Mailing Address - Country:US
Mailing Address - Phone:507-775-2711
Mailing Address - Fax:507-775-2661
Practice Address - Street 1:501 FRONTAGE RD NW
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:MN
Practice Address - Zip Code:55920-1275
Practice Address - Country:US
Practice Address - Phone:507-775-2711
Practice Address - Fax:507-775-2661
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN002944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor