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Organization
WAXBERG CLINIC PA
Active
Organization
WAXBERG CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL E WAXBERG DC (OWNER)
(320) 629-5288
Entity
Organization
Contact information
Practice address
805 MAIN ST S, PINE CITY, MN 55063-1660
(320) 629-5288
(320) 629-5289
Mailing address
805 MAIN ST S, PINE CITY, MN 55063-1660
(320) 629-5288
(320) 629-5289
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3686
MN
Other
Enumeration date
10/30/2007
Last updated
09/25/2012
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