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Organization

WOODLAKE CHIROPRACTIC, INC.

Active
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Organization

WOODLAKE CHIROPRACTIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL J ZILKA D.C. (CHIROPRACTOR)
(612) 866-9194
Entity
Organization

Contact information

Practice address
6701 LYNDALE AVE S, RICHFIELD, MN 55423-2315
(612) 866-9194
Mailing address
6701 LYNDALE AVE S, RICHFIELD, MN 55423-2315

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2352
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01400ZI
BLUE SHIELD
MN
01
—
25943HU
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/30/2006
Last updated
12/28/2007
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