Organization
COLLINS CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE MARION COLLINS PC (DR OF CHIROPRACTIC OFFICER)
(952) 447-5770
Entity
Organization
Contact information
Practice address
16670 FRANKLIN TRL SE, SUITE 120C, PRIOR LAKE, MN 55372-2924
(952) 447-5770
(952) 447-5780
Mailing address
16670 FRANKLIN TRL SE, SUITE 120C, PRIOR LAKE, MN 55372-2924
(952) 447-5770
(952) 447-5780
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4285
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088434100
—
MN
01
—
991S9CO
BCBS
MN
Enumeration date
01/31/2007
Last updated
04/11/2008
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