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Organization
ST. MICHAEL SPINAL REHAB CENTER, INC
Active
Organization
ST. MICHAEL SPINAL REHAB CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HOSKO (CEO)
(763) 497-2787
Entity
Organization
Contact information
Practice address
400 CENTRAL AVE E STE 70, SAINT MICHAEL, MN 55376-9525
(763) 497-2787
(763) 497-4325
Mailing address
400 CENTRAL AVE E STE 70, PO BOX 306, SAINT MICHAEL, MN 55376-9525
(763) 497-2787
(763) 497-4325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1843
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07374HO
BLUE CROSS CLINIC
—
Enumeration date
03/02/2007
Last updated
08/22/2020
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