Individual
MR. MICHAEL JUDE MILBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
100 2ND ST S, SARTELL, MN 56377-1977
(320) 251-2600
(320) 251-4763
Mailing address
100 2ND ST S, PO BOX 296, SARTELL, MN 56377-1977
(320) 251-2600
(320) 251-4763
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2895
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18F04MI
BLUE CROSS BLUE SHIELD
MN
01
—
4433195
MEDICA
MN
05
—
676728100
—
MN
Enumeration date
07/07/2005
Last updated
08/27/2013
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