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Organization
CITY LAKES CHIROPRACTIC PA
Active
Organization
CITY LAKES CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A ANDERSON D.C. (OWNER)
(612) 722-2147
Entity
Organization
Contact information
Practice address
2903 E 42ND STREET, MINNEAPOLIS, MN 55406
(612) 722-2147
(612) 722-1581
Mailing address
2903 E 42ND STREET, MINNEAPOLIS, MN 55406
(612) 722-2147
(612) 722-1581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3363
MN
111N00000X
Chiropractor
508
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43F05AN
BCBS
MN
05
—
5374227-00
—
MN
Enumeration date
04/13/2007
Last updated
01/28/2013
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