Organization
VADNAIS HEIGHTS FAMILY CHIROPRACTIC, INC.
Active
Organization
VADNAIS HEIGHTS FAMILY CHIROPRACTIC, INC.
Active
Other names
Performance Chiropractic and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JON HALLINGSTAD D.C. (PRESIDENT)
(651) 762-7475
Entity
Organization
Contact information
Practice address
1038 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6344
(651) 762-7475
(651) 762-7544
Mailing address
1038 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6344
(651) 762-7475
(651) 762-7544
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
4396
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE CROSS BLUE SHIE
056K3VA
MN
Enumeration date
05/09/2007
Last updated
08/22/2020
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