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Organization
MILLE LACS CHIROPRACTICS
Active
Organization
MILLE LACS CHIROPRACTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BERNARD HASS DC (OWNER)
(320) 983-2728
Entity
Organization
Contact information
Practice address
1010 5TH ST SE, MILACA, MN 56353-1300
(320) 983-2728
(320) 983-2725
Mailing address
PO BOX 294, MILACA, MN 56353-0294
(320) 983-2728
(320) 983-2725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2280
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231223
CCMI
—
05
—
279727500
—
MN
01
—
3C131HA
BCBS
MN
Enumeration date
12/08/2006
Last updated
04/09/2009
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