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Organization
COOK CHIROPRACTIC CENTER LTD.
Active
Organization
COOK CHIROPRACTIC CENTER LTD.
Active
Other names
Horoshak Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY SCOTT HOROSHAK DC (OWNER DOCTOR)
(218) 666-5104
Entity
Organization
Contact information
Practice address
19 E VERMILION DR, PO 395, COOK, MN 55723
(218) 666-5104
(218) 749-1570
Mailing address
19 E VERMILION DR, PO 395, COOK, MN 55723
(218) 666-5104
(218) 749-1570
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3729
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350047055
RR MEDICARE
—
01
—
607585
MEDICA
—
01
—
63D99L0
BC
—
Enumeration date
09/28/2006
Last updated
08/07/2009
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