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Organization
HUMFELD FAMILY CHIROPRACTIC, P.C.
Active
Organization
HUMFELD FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA J. HUMFELD-WILSON D.C. (OWNER)
(507) 333-5388
Entity
Organization
Contact information
Practice address
119 CENTRAL AVE N, FARIBAULT, MN 55021-5210
(507) 333-5388
(507) 333-5451
Mailing address
119 CENTRAL AVE N, P.O. BOX 893, FARIBAULT, MN 55021-5210
(507) 333-5388
(507) 333-5451
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4157
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080M0HU
BCBS
MN
01
—
872833000
DSHS
MN
Enumeration date
12/16/2006
Last updated
12/22/2011
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