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Individual
DR. EDWIN MONETTE FISSINGER
Active
Individual
DR. EDWIN MONETTE FISSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123
CHIRO SERV
MN
01
—
3D482FI
BLUE CROSS BLUE SHIELD
MN
01
—
841828400
MINNESOTA CARE
MN
Enumeration date
02/08/2007
Last updated
11/13/2007
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