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Organization
CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A.
Active
Organization
CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALAN KOHOUT D.C. (PRESIDENT/OWNER)
(763) 784-3916
Entity
Organization
Contact information
Practice address
1342 81ST AVE NE, SPRING LAKE PARK, MN 55432-2116
(763) 784-3916
(763) 784-3829
Mailing address
1342 81ST AVE NE, SPRING LAKE PARK, MN 55432-2116
(763) 784-3916
(763) 784-3829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2616
MN
171100000X
Acupuncturist
114
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C916KO
BCBS OF MN
MN
Enumeration date
07/13/2006
Last updated
04/10/2013
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