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Organization
TRILLIUM CHIROPRACTIC, P.A.
Active
Organization
TRILLIUM CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROD OCHSENDORF DC (PRESIDENT)
(763) 420-2226
Entity
Organization
Contact information
Practice address
13563 GROVE DR, MAPLE GROVE, MN 55311-4409
(763) 420-2226
(763) 420-5604
Mailing address
13563 GROVE DR, MAPLE GROVE, MN 55311-4409
(763) 420-2226
(763) 420-5604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4768
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77G43OC
BCBS 'AWARE' PROVIDER
MN
Enumeration date
07/21/2009
Last updated
02/08/2011
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