Individual
DR. CRAIG ROY KADDATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
130 1ST STREET W #108, CANBY, MN 56220-1145
(507) 233-7366
(507) 223-7366
Mailing address
130 1ST STREET W #108, CANBY, MN 56220-1145
(507) 223-7366
(507) 223-7366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2538
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0851
HSM ID
MN
01
—
15097
MIDLANDS CHOICE ID
—
01
—
1DO74KA
BCBS INDIVIDUAL ID
MN
01
—
2038
DAKOTACARE ID
—
01
—
22124
SVHP ID
—
01
—
59873KA
BCBS GROUP ID
MN
05
—
602028300
—
MN
05
—
7603720
—
MN
Enumeration date
03/08/2006
Last updated
07/21/2022
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