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Organization
NEW BRIGHTON CHIROPRACTIC CLINIC, P.A.
Active
Organization
NEW BRIGHTON CHIROPRACTIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN JON KOLLAR DC (VP)
(651) 636-4120
Entity
Organization
Contact information
Practice address
2216 COUNTY ROAD D W STE B, NEW BRIGHTON, MN 55112-8505
(651) 636-4120
(651) 630-1069
Mailing address
2216 COUNTY ROAD D W STE B, SAINT PAUL, MN 55112-8505
(651) 636-4120
(651) 630-1069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
580
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137L0NE
BCBS CLINIC ID
MN
Enumeration date
06/22/2005
Last updated
08/16/2021
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