Provider Demographics
NPI:1629781984
Name:STANGL, ABBY (DC)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:STANGL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13968 CYPRESS DR STE 1B
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-5904
Mailing Address - Country:US
Mailing Address - Phone:218-822-3855
Mailing Address - Fax:218-822-3854
Practice Address - Street 1:13968 CYPRESS DR STE 1B
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-5904
Practice Address - Country:US
Practice Address - Phone:218-822-3855
Practice Address - Fax:218-822-3854
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7062111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor