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Organization
DR MOSES S M SMITH CHIROPRACTIC LLC
Active
Organization
DR MOSES S M SMITH CHIROPRACTIC LLC
Active
Other names
Moe Bodyworks
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSES SMITH D.C. (CHIROPRACTOR/OWNER)
(612) 824-1829
Entity
Organization
Contact information
Practice address
707 W 34TH ST, MINNEAPOLIS, MN 55408-4138
(612) 824-1829
(612) 823-3808
Mailing address
707 W 34TH ST, MINNEAPOLIS, MN 55408-4138
(612) 824-1829
(612) 823-3808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4728
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273P1AC
BLUE CROSS BLUE SHIELD
—
01
—
350003454
MEDICARE
—
05
—
954603100
—
MN
01
—
CC0938A
CHIROCARE LANDMARK
MN
Enumeration date
12/18/2009
Last updated
12/18/2009
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