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Organization
LEE-FUHR CHIROPRACTIC CLINIC PA
Active
Organization
LEE-FUHR CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W YOUNGQUIST DC (PRESIDENT)
(320) 235-5444
Entity
Organization
Contact information
Practice address
180 45TH AVE SE, WILLMAR, MN 56201-9665
(320) 235-5444
(320) 231-0937
Mailing address
PO BOX 1536, WILLMAR, MN 56201-1536
(320) 235-5444
(320) 231-0937
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2415
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230959
ACN GROUP
MN
01
—
45160LE
BLUECROSSBLUESHIELD OF MN
MN
Enumeration date
03/14/2007
Last updated
08/22/2020
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