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Organization
B C OKLAND PC
Active
Organization
B C OKLAND PC
Active
Other names
Okland Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN OKLAND D.C. (PRESIDENT)
(218) 749-5436
Entity
Organization
Contact information
Practice address
102 1ST ST N, VIRGINIA, MN 55792-2502
(218) 749-5436
(218) 749-2118
Mailing address
102 1ST ST N, VIRGINIA, MN 55792-2502
(218) 749-5436
(218) 749-2118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4278
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277M9OK
BCBS GROUP NUMBER
MN
01
—
278M1OK
BCBS PIN
MN
01
—
4401492
MEDICA PIN
MN
05
—
516405200
—
MN
01
—
649065
CHIROCARE ID#
MN
Enumeration date
02/09/2007
Last updated
07/21/2010
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