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Organization
COMPLETE CHIROPRACTIC HEALTH SERVICES, P.A.
Active
Organization
COMPLETE CHIROPRACTIC HEALTH SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JAMES HAFNER D.C. (PRESIDENT)
(651) 690-9366
Entity
Organization
Contact information
Practice address
1526 GRAND AVE, ST. PAUL, MN 55105
(651) 690-9366
Mailing address
1526 GRAND AVE, ST. PAUL, MN 55105
(651) 690-9366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27377RE
BCBS CLINIC NUMBER
MN
05
—
939273400
—
MN
Enumeration date
12/06/2006
Last updated
03/03/2010
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