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Organization

PRAIRIE VIEW CHIROPRACTIC CLINIC, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J CHALUPSKY D.C. (OWNER)
(952) 697-0054
Entity
Organization

Contact information

Practice address
7565 OFFICE RIDGE CIR, SUITE 2, EDEN PRAIRIE, MN 55344-3651
(952) 697-0054
(952) 697-0059
Mailing address
7565 OFFICE RIDGE CIR, SUITE 2, EDEN PRAIRIE, MN 55344-3651
(952) 697-0054
(952) 697-0059

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3036
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6C214-PR
BCBS OF MN
Enumeration date
03/14/2008
Last updated
03/19/2008
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