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Organization
CHIROPRACTIC ASSOCIATES OF NORTHERN MINNESOTA, LTD.
Active
Organization
CHIROPRACTIC ASSOCIATES OF NORTHERN MINNESOTA, LTD.
Active
Other names
Associated Chiropractic Physicians/ Miller Hill
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRAF LAWRENCE LESAVAGE D.C. (OWNER)
(218) 722-9300
Entity
Organization
Contact information
Practice address
1301 MILLER TRUNK HWY, SUITE 300, DULUTH, MN 55811-5611
(218) 722-9300
(218) 722-9415
Mailing address
224 PAINE FARM RD, DULUTH, MN 55804-2607
(218) 722-9300
(218) 722-9415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1539
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52485LE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/06/2008
Last updated
02/06/2008
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