Organization
BOLINE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK D BOLINE (OWNER)
(218) 631-3003
Entity
Organization
Contact information
Practice address
11 BRYANT AVE SW, WADENA, MN 56482-1405
(218) 631-3003
Mailing address
11 BRYANT AVE SW, WADENA, MN 56482-1405
(218) 631-3003
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002485
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230981
CHIROCARE
MN
01
—
3C907BO
BCBS
MN
01
—
HP21779
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
01/08/2008
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