Individual
MR. STEPHEN GARY VERBOVANEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
165 CENTRAL AVE, WATKINS, MN 55389
(320) 764-3000
(320) 764-3000
Mailing address
PO BOX 39, WATKINS, MN 55389
(320) 764-3000
(320) 764-3000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2458
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356K6WA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
11/21/2006
Last updated
08/06/2007
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