Provider Demographics
NPI:1821326497
Name:DEAN, CHRISTOPHER DARYL (DC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DARYL
Last Name:DEAN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 PONDRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-1374
Mailing Address - Country:US
Mailing Address - Phone:952-913-1637
Mailing Address - Fax:
Practice Address - Street 1:11545 K TEL DR
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-8845
Practice Address - Country:US
Practice Address - Phone:952-222-7743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor