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Individual
DR. WAYNE MICHAEL ECK
Active
Individual
DR. WAYNE MICHAEL ECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1346
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22065EC
BLUE CROSS BLUE SHIELD
MN
01
—
350053263
RAILROAD MEDICARE
MN
05
—
428725800
—
MN
Enumeration date
11/27/2006
Last updated
07/08/2007
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