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Organization
MCBRIDE CHIROPRACTIC PA
Active
Organization
MCBRIDE CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD SCOTT MCBRIDE JR. D.C. (PRESIDENT)
(218) 326-2828
Entity
Organization
Contact information
Practice address
1751 SE 2ND AVE, SUITE 3, GRAND RAPIDS, MN 55744-2586
(218) 326-2828
(218) 326-2516
Mailing address
1751 SE 2ND AVE, GRAND RAPIDS, MN 55744-2586
(218) 326-2828
(218) 326-2516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002981
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C527MC
BLUE CROSS BLUE SHIELD
MN
05
—
767326400
—
MN
01
—
P00067312
RAILROAD MEDICARE
MN
Enumeration date
02/07/2007
Last updated
12/04/2017
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