Provider Demographics
NPI:1982626123
Name:WERNER-DEMPSEY, ANNE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:WERNER-DEMPSEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:WERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7700 W OLD SHAKOPEE RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-3302
Mailing Address - Country:US
Mailing Address - Phone:952-829-0262
Mailing Address - Fax:952-829-0327
Practice Address - Street 1:7700 W OLD SHAKOPEE RD
Practice Address - Street 2:SUITE 125
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55438-3302
Practice Address - Country:US
Practice Address - Phone:952-829-0262
Practice Address - Fax:952-829-0327
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3912111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNFIRST HEALTHOther2157883
MNBLUE CROSS BLUE SHIEOther162D0WE
MNBLUE CROSS BLUE SHIEOther162D0WE
MNFIRST HEALTHOther2157883