Provider Demographics
NPI:1629240130
Name:KARI, GERALD WALTER (DC)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:WALTER
Last Name:KARI
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 1:28702 JENSEN RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:WI
Mailing Address - Zip Code:54830-9780
Mailing Address - Country:US
Mailing Address - Phone:715-866-7020
Mailing Address - Fax:715-866-5342
Practice Address - Street 1:824 LAKE ST S
Practice Address - Street 2:
Practice Address - City:FOREST LAKE
Practice Address - State:MN
Practice Address - Zip Code:55025-2614
Practice Address - Country:US
Practice Address - Phone:651-464-1063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor