Individual
DR. MAE BETH LINDSTROM-WOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2002 BROADWAY AVE, SLAYTON, MN 56172-2011
(507) 836-8911
(507) 836-8920
Mailing address
2002 BROADWAY AVE, SLAYTON, MN 56172-2011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2724
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2724
STATE DC LICENSE
MN
01
—
64818LI
BLUE CROSS PROVIDER ID
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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