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Organization
DYNAMIC BALANCE PC
Active
Organization
DYNAMIC BALANCE PC
Active
Other names
Monticello Chiropractic & Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CRIPE DC (OWNER)
(763) 295-2262
Entity
Organization
Contact information
Practice address
212 CEDAR ST, MONTICELLO, MN 55362-8598
(763) 295-2262
(763) 295-6282
Mailing address
212 CEDAR ST, PO BOX 1638, MONTICELLO, MN 55362-8598
(763) 295-2262
(763) 295-6282
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4170
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422L0MO
BCBS
MN
01
—
422L1MO
BCBS
MN
01
—
641442
ACN
MN
Enumeration date
08/24/2007
Last updated
08/24/2007
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