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Organization
HOPKINS HEALTH AND WELLNESS CENTER PA
Active
Organization
HOPKINS HEALTH AND WELLNESS CENTER PA
Active
Other names
DMR Clinic Woodbury, Hopkins Back and Neck Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON TROY JONES (BUSINESS OFFICE MANAGER)
(952) 933-5085
Entity
Organization
Contact information
Practice address
15 8TH AVE N, HOPKINS, MN 55343-7611
(952) 933-5085
(952) 931-2159
Mailing address
15 8TH AVE N, HOPKINS, MN 55343-7611
(952) 933-5085
(952) 931-2159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2838;3891;3003;4761
MN
207Q00000X
Family Medicine Physician
—
—
225700000X
Massage Therapist
45178; 0265
MN
261QP2000X
Physical Therapy Clinic/Center
7592; 7083; 5775
MN
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123413700
—
MN
01
—
4C625-HO
BLUE CROSS BLUE SHIELD
MN
01
—
8B135GI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/26/2007
Last updated
11/23/2021
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