Organization
NORTHWOODS CHIROPRACTIC OF CHISAGO CITY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE ZVONAR D.C. (PRESIDENT)
(651) 257-3914
Entity
Organization
Contact information
Practice address
11185 LAKE BLVD, CHISAGO CITY, MN 55013-9817
(651) 257-3914
(651) 257-3915
Mailing address
11185 LAKE BLVD, CHISAGO CITY, MN 55013-9817
(651) 257-3914
(651) 257-3915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003667
MN
111NN1001X
Nutrition Chiropractor
002174
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55P78ZV
BCBS CLINIC PROVIDER NO.
MN
Enumeration date
01/19/2007
Last updated
06/08/2015
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