Individual
DR. BRADLEY JAY HAUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10 N O CONNELL AVE, SPRINGFIELD, MN 56087-1308
(507) 723-5515
Mailing address
10 N O CONNELL AVE, SPRINGFIELD, MN 56087-1308
(507) 723-5515
(507) 723-5515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2496
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C248HA
BCBS
MN
05
—
911028300
—
MN
Enumeration date
03/17/2006
Last updated
07/19/2010
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