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Individual

DR. BRIAN ALAN WIEBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7029 10TH ST N, OAKDALE, MN 55128-5938
(651) 735-2201
(651) 739-0763
Mailing address
7029 10TH ST N, OAKDALE, MN 55128-5938
(651) 735-2201
(651) 739-0763

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3361
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201391931
HSM
MN
01
231968
ACN GROUP, INC.
MN
05
590519200
MN
01
595R5WI
BLUE CROSS BLUE SHIELD
Enumeration date
07/27/2006
Last updated
10/02/2009
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