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Organization
JEFF HADY INC.
Active
Organization
JEFF HADY INC.
Active
Other names
Pike Lake Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY FRANCIS HADY D.C. (PRESIDENT)
(218) 729-8936
Entity
Organization
Contact information
Practice address
5663 MILLER TRUNK HWY, DULUTH, MN 55811-1229
(218) 729-8936
(218) 729-8944
Mailing address
5663 MILLER TRUNK HWY, DULUTH, MN 55811-1229
(218) 729-8936
(218) 729-8944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2279
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4423422
CHIROCARE
MN
01
—
4448132
MEDICA
MN
01
—
74414HA
BLUE CROSS & BLUE SHIELD
MN
Enumeration date
04/08/2008
Last updated
04/08/2008
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