Individual
PATRICK D BOLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
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
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
—
3C909BO
BC/BS OF MINNESOTA
MN
01
—
HP21779
HEALTH PARTNERS
MN
Enumeration date
07/15/2006
Last updated
01/11/2008
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