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Organization
MADISON CHIROPRACTIC CENTER
Active
Organization
MADISON CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON A BONN D.C. (OWNER)
(320) 598-3089
Entity
Organization
Contact information
Practice address
508 W 4TH ST, MADISON, MN 56256-1426
(320) 598-3089
(320) 598-3211
Mailing address
508 W 4TH ST, MADISON, MN 56256-1426
(320) 598-3089
(320) 598-3211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3882
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54B82MA
BLUE CROSS BLUE SHIELD
MN
05
—
721157100
—
MN
Enumeration date
10/26/2006
Last updated
11/18/2008
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