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Organization

ILBNC, P.A.

Active
Other names
Institute for Low Back & Neck Care
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE MARIE HILGARDNER (CLINIC OPERATIONS MANAGER)
(952) 814-6600
Entity
Organization

Contact information

Practice address
3001 METRO DR, SUITE 330, BLOOMINGTON, MN 55425-4506
(952) 814-6600
(952) 814-6700
Mailing address
3001 METRO DR, SUITE 330, BLOOMINGTON, MN 55425-4506
(952) 814-6600
(952) 814-6700

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39370BA
BCBS
MN
01
76900
PREFERRED ONE
MN
05
970722100
MN
Enumeration date
08/26/2005
Last updated
01/02/2015
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