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Organization
EDLUND CHIROPRACTIC
Active
Organization
EDLUND CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WADE EDLUND DC (DC/OWNER)
(218) 751-5910
Entity
Organization
Contact information
Practice address
140 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-2440
(218) 751-5910
(218) 751-5910
Mailing address
140 PAUL BUNYAN DR NW, BEMIDJI, MN 56601-2440
(218) 751-5910
(218) 751-5910
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2942
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3K872ED
BCBS OF MN
MN
Enumeration date
07/17/2007
Last updated
07/17/2007
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