Organization
CENTER FOR WELL BEING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L. MAYFIELD D.C. (PRESIDENT)
(952) 885-0822
Entity
Organization
Contact information
Practice address
7901 XERXES AVE S, SUITE 300, BLOOMINGTON, MN 55431-1253
(952) 885-0822
(952) 885-9180
Mailing address
7901 XERXES AVE S, SUITE 300, BLOOMINGTON, MN 55431-1253
(952) 885-0822
(952) 885-9180
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1758
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04S89MI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/13/2006
Last updated
09/12/2007
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