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Organization
MELLIN CHIROPRACTIC CARE CLINIC, P.C.
Active
Organization
MELLIN CHIROPRACTIC CARE CLINIC, P.C.
Active
Other names
Mellin Chiropractic Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P. MELLIN II D.C. (OWNER)
(952) 921-0333
Entity
Organization
Contact information
Practice address
3300 EDINBOROUGH WAY, SUITE 108, EDINA, MN 55435-5923
(952) 921-0333
(952) 832-0766
Mailing address
3300 EDINBOROUGH WAY, SUITE 108, EDINA, MN 55435-5923
(952) 921-0333
(952) 832-0766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
614
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C878ME
BLUE CROSS OF MN
MN
Enumeration date
11/01/2006
Last updated
08/22/2020
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