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Organization
WOHLRABE CHIROPRACTIC & ACUPUNCTURE, P.A.
Active
Organization
WOHLRABE CHIROPRACTIC & ACUPUNCTURE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE LYNN WOHLRABE DC (PRESIDENT)
(507) 639-2002
Entity
Organization
Contact information
Practice address
11 CHESTNUT ST E, P.O. BOX L, TRIMONT, MN 56176-9678
(507) 639-2002
Mailing address
11 CHESTNUT ST E, P.O. BOX L, TRIMONT, MN 56176-9678
(507) 639-2002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1935
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350031718
PALMETTO GBA
—
01
—
3590000121
WPS MEDICARE PART B
—
05
—
844727600
—
MN
01
—
OG496-WO
BLUE CROSS BLUE SHIELD OF MINNESOTA
—
Enumeration date
12/18/2009
Last updated
12/18/2009
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