Organization
COMPLETE CHIROPRACTIC AND WELLNESS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS MELLUM D.C. (OWNER)
(612) 866-1859
Entity
Organization
Contact information
Practice address
6640 LYNDALE AVE S STE 120, RICHFIELD, MN 55423-2385
(612) 866-1859
Mailing address
6640 LYNDALE AVE S STE 120, RICHFIELD, MN 55423-2385
(612) 866-1859
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4364
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088L3AS
BCBS
MN
01
—
101645
HEALTHPARTNERS
MN
Enumeration date
05/15/2007
Last updated
08/22/2020
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