Individual
MICHAEL HAROLD RAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
653 MAIN ST NW, ELK RIVER, MN 55330-1502
(763) 441-2411
Mailing address
653 MAIN ST NW, ELK RIVER, MN 55330-1502
(763) 441-2411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1850
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27247RA
BLUE CROSS / BLUE SHIELD
MN
01
—
44-48325
MEDICA
MN
Enumeration date
10/26/2006
Last updated
07/08/2007
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