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Individual
DR. DARRELL K METCALF
Active
Individual
DR. DARRELL K METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1413
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51F36CO
BCBS GROUP NUMBER
MN
01
—
51F37ME
BCBS PERSONAL ID
MN
Enumeration date
12/11/2006
Last updated
07/08/2007
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