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Organization
ANOKA-ANDOVER CHIROPRACTIC, PA
Active
Organization
ANOKA-ANDOVER CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH M. BILLSTEIN D.C. (PRESIDENT OWNER)
(763) 427-7122
Entity
Organization
Contact information
Practice address
3722 7TH AVE, ANOKA, MN 55303-1465
(763) 427-7122
(763) 427-4042
Mailing address
3722 7TH AVE, ANOKA, MN 55303-1465
(763) 427-7122
(763) 427-4042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1983
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20735BI
BLUE CROSS BLUE SHIELD
MN
05
—
3710867
—
MN
01
—
510221000
MN MEDICAL ASS. GROUP
MN
01
—
625327000
MN MEDICAL ASS. INDIVDUAL
MN
01
—
OG117BI
GROUP BLUE CROSS BLUE SHI
MN
Enumeration date
02/12/2007
Last updated
11/26/2008
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