Organization
OSSEO BACK AND NECK CLINIC, P.A.
Active
Other names
Osseo Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER LEE KELZENBERG D.C. (OWNER-PRESIDENT)
(763) 425-5525
Entity
Organization
Contact information
Practice address
220 CENTRAL AVE, OSSEO, MN 55369-1245
(763) 425-5525
(763) 425-6229
Mailing address
220 CENTRAL AVE, OSSEO, MN 55369-1245
(763) 425-5525
(763) 425-6229
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
3440
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02D86OS
BCBS
MN
01
—
44-40379
MEDICA
MN
01
—
604271
HEALTH PARTNERS
MN
Enumeration date
11/22/2006
Last updated
10/01/2007
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