Provider Demographics
NPI:1972825677
Name:REMMICK, DILLON LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:DILLON
Middle Name:LEE
Last Name:REMMICK
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 1:7656 DESIGN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-8676
Mailing Address - Country:US
Mailing Address - Phone:218-838-3335
Mailing Address - Fax:
Practice Address - Street 1:7656 DESIGN RD STE 100
Practice Address - Street 2:
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8676
Practice Address - Country:US
Practice Address - Phone:218-838-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor