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Organization

SPECIFIC FAMILY CHIROPRACTIC, LLC

Active
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Organization

SPECIFIC FAMILY CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH GEORGE BIERNAT III D.C. (CHIROPRACTOR)
(651) 415-0418
Entity
Organization

Contact information

Practice address
2785 WHITE BEAR AVE N, 108, MAPLEWOOD, MN 55109-1307
(651) 415-0418
(651) 415-0106
Mailing address
2785 WHITE BEAR AVE N, 108, MAPLEWOOD, MN 55109-1307
(651) 415-0418
(651) 415-0106

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D05SP
BCBS
MN
Enumeration date
11/28/2006
Last updated
11/20/2014
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