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Organization
ST RAPHAELS CHIROPRACTIC CARE CENTER PLLC
Active
Organization
ST RAPHAELS CHIROPRACTIC CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIP SMITH (OWNER)
(507) 261-7202
Entity
Organization
Contact information
Practice address
120 CENTRAL AVE N STE C, MILACA, MN 56353-1571
(320) 362-7900
Mailing address
120 CENTRAL AVE N STE C, MILACA, MN 56353-1571
(320) 362-7900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170123100
—
MN
Enumeration date
03/19/2020
Last updated
06/02/2025
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