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Organization
NORTHWOODS CHIROPRACTIC OF CHISAGO CITY PA
Active
Organization
NORTHWOODS CHIROPRACTIC OF CHISAGO CITY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE ZVONAR D.C. (PRESIDENT)
(651) 257-3914
Entity
Organization
Contact information
Practice address
11185 LAKE BLVD, CHISAGO CITY, MN 55013-9817
(651) 257-3914
(651) 257-3915
Mailing address
11185 LAKE BLVD, CHISAGO CITY, MN 55013-9817
(651) 257-3914
(651) 257-3915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003667
MN
111NN1001X
Nutrition Chiropractor
002174
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55P78ZV
BCBS CLINIC PROVIDER NO.
MN
Enumeration date
01/19/2007
Last updated
06/08/2015
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