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Organization
IHS OF WOODBURY, P.A.
Active
Organization
IHS OF WOODBURY, P.A.
Active
Other names
HealthSource St. Paul
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA ANTHONY KARY D.C (DIRECTOR/OWNER)
(651) 731-1880
Entity
Organization
Contact information
Practice address
1815 SUBURBAN AVE, SAINT PAUL, MN 55119-4302
(651) 731-1880
(651) 739-6029
Mailing address
1815 SUBURBAN AVE, SAINT PAUL, MN 55119-4302
(651) 731-1880
(651) 739-6029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4486
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
556P8KA
BLUECROSS BLUESHIELD
MN
05
—
762240600
—
MN
Enumeration date
09/24/2010
Last updated
09/24/2010
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