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Organization
ANGELA R. RENNER, D.C., P.A.
Active
Organization
ANGELA R. RENNER, D.C., P.A.
Active
Other names
Northland Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA RENE RENNER D.C. (PRESIDENT)
(218) 741-1888
Entity
Organization
Contact information
Practice address
603 8TH ST N, VIRGINIA, MN 55792-2331
(218) 741-1888
(218) 741-4888
Mailing address
603 8TH ST N, PO BOX 1014, VIRGINIA, MN 55792-2331
(218) 741-1888
(218) 741-4888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4701
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221092400
MHCP PROVIDER NUMBER
MN
01
—
276P6RE
PARTICIPATING BCBS PROV #
MN
Enumeration date
06/02/2006
Last updated
12/22/2008
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