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Organization
WELLSPRING CHIROPRACTIC
Active
Organization
WELLSPRING CHIROPRACTIC
Active
Other names
WellSpring Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ALAN WIEBE D.C. (OWNER)
(651) 735-2201
Entity
Organization
Contact information
Practice address
7029 10TH ST N, OAKDALE, MN 55128-5938
(651) 735-2201
(651) 739-0763
Mailing address
7029 10TH ST N, OAKDALE, MN 55128-5938
(651) 735-2201
(651) 739-0763
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3361
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233987000
—
MN
01
—
595R4WE
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/08/2007
Last updated
10/02/2009
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