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Organization
WOODLANDS CHIROPRACTIC PA
Active
Organization
WOODLANDS CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S BALFANZ DC (OWNER/DC)
(320) 240-0300
Entity
Organization
Contact information
Practice address
48 29TH AVE N, SAINT CLOUD, MN 56303-4589
(320) 240-0300
(320) 240-0303
Mailing address
48 29TH AVE N, SAINT CLOUD, MN 56303-4589
(320) 240-0300
(320) 240-0303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
537
MN
111N00000X
Chiropractor
Primary
6076
MN
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173422900
—
MN
01
—
452S2WO
BC/BS PROVIDER NUMBER
MN
Enumeration date
09/27/2006
Last updated
12/13/2017
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