Organization
BOLINE FENSTRA CHIROPRACTIC PC
Active
Other names
BOLINE FENSTRA CHIROPRACTIC PC
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL A BOLINE FENSTRA (OWNER)
(320) 235-0515
Entity
Organization
Contact information
Practice address
1101 1ST ST S, WILLMAR, MN 56201-3592
(320) 235-0515
Mailing address
1101 1ST ST S, WILLMAR, MN 56201-3592
(320) 235-0515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3122
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900022400
—
MN
Enumeration date
06/09/2008
Last updated
06/19/2015
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