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Organization
WELLS CHIROPRACTIC CLINIC INC
Active
Organization
WELLS CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD A MALWITZ DC (OWNER)
(507) 526-5656
Entity
Organization
Contact information
Practice address
105 N GROVE ST, BLUE EARTH, MN 56013-2407
(507) 526-5656
(507) 526-5757
Mailing address
105 N GROVE ST, BLUE EARTH, MN 56013-2407
(507) 526-5656
(507) 526-5757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3445
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157L4WE
BC/BS OF MINNESOTA
MN
05
—
779458400
—
MN
01
—
DC5746
RAILROAD MEDICARE
MN
Enumeration date
12/20/2007
Last updated
11/08/2022
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