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Organization
VIRGA CHIROPRACTIC CLINIC PA
Active
Organization
VIRGA CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH VIRGA DC (PRES)
(651) 257-1000
Entity
Organization
Contact information
Practice address
12670 LAKE BLVD, LINDSTROM, MN 55045-0482
(651) 257-1000
(651) 257-1020
Mailing address
12670 LAKE BLVD PO BOX 482, LINDSTROM, MN 55045-0482
(651) 257-1000
(651) 257-1020
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2686
MN
111N00000X
Chiropractor
Primary
2700
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202790900
—
MN
Enumeration date
01/25/2007
Last updated
09/23/2010
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