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Individual
DR. MICHAEL DOUGLAS HEAD
Active
Individual
DR. MICHAEL DOUGLAS HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3281
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231934
CCMI ID
MN
01
—
35P22WI
BCBS OF MN CLINIC ID
MN
01
—
35P23HE
BCBS OF MN ID INDIVIDUAL
MN
01
—
4400056
MEDICA
MN
05
—
7711328-00
—
MN
01
—
79279
UPIN FOR HEALTHPARTNERS
MN
Enumeration date
07/12/2006
Last updated
02/10/2015
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