Provider Demographics
NPI:1679881403
Name:BICHEL, MINDY ANNE (DC)
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:ANNE
Last Name:BICHEL
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 1:1575 CLEMSON DR
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-4807
Mailing Address - Country:US
Mailing Address - Phone:612-245-7873
Mailing Address - Fax:
Practice Address - Street 1:7501 80TH ST S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-3020
Practice Address - Country:US
Practice Address - Phone:651-459-0962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5413111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor