Individual
DR. BRYAN OKLAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 1ST ST N, VIRGINIA, MN 55792-2502
(218) 749-5436
(218) 749-2118
Mailing address
102 1ST ST N, VIRGINIA, MN 55792-2502
(218) 749-5436
(218) 749-2118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4278
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277M9OK
BCBS GROUP #
MN
01
—
278M1OK
BCBS PROVIDER #
MN
Enumeration date
07/15/2005
Last updated
07/09/2007
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