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Individual
NICHOLAS STEVEN DEVICH
Active
Individual
NICHOLAS STEVEN DEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3929
MN
171100000X
Acupuncturist
587
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26F39DE
BLUE CROSS GROUP NUMBER
MN
01
—
26F40DE
BLUE CROSS IND NUMBER
MN
01
—
350055197
TRAVELERS MEDICARE
MN
05
—
649650400
—
MN
Enumeration date
10/27/2006
Last updated
02/08/2023
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