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Individual

NICHOLAS STEVEN DEVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1510 8TH ST S, VIRGINIA, MN 55792-3346
(218) 741-4010
(218) 741-0118
Mailing address
1510 8TH ST S, VIRGINIA, MN 55792-3346
(218) 741-4010
(218) 741-0118

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3929
MN
171100000X
Acupuncturist
587
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26F39DE
BLUE CROSS GROUP NUMBER
MN
01
26F40DE
BLUE CROSS IND NUMBER
MN
01
350055197
TRAVELERS MEDICARE
MN
05
649650400
MN
Enumeration date
10/27/2006
Last updated
02/08/2023
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