Organization
HULTMAN LAKE ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL BLOMBERG D.C. (DOCTOR OF CHIROPRACTIC)
(320) 629-5288
Entity
Organization
Contact information
Practice address
805 MAIN ST S, PINE CITY, MN 55063-1660
(320) 629-5288
Mailing address
805 MAIN ST S, PINE CITY, MN 55063-1660
(320) 629-5288
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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