Provider Demographics
NPI:1972667715
Name:HULIN, GARY NORMAN (D C)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:NORMAN
Last Name:HULIN
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12400 210TH ST W
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-7455
Mailing Address - Country:US
Mailing Address - Phone:952-469-8337
Mailing Address - Fax:952-833-3040
Practice Address - Street 1:18480 KENYON AVE
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-6911
Practice Address - Country:US
Practice Address - Phone:952-454-6668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor