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Organization

VALKOS CHIROPRACTIC OFFICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID VALKOS D.C. (CHIROPRACTOR/ OWNER)
(651) 345-2785
Entity
Organization

Contact information

Practice address
106 S WASHINGTON ST, LAKE CITY, MN 55041-1034
(651) 345-2785
(651) 345-5321
Mailing address
106 S WASHINGTON ST, LAKE CITY, MN 55041-1034
(651) 345-2785
(651) 345-5321

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
002300
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350053075
RAIL ROAD MEDICARE
05
381328200
MN
01
3D991VA
BCBS INDIVIDUAL #
MN
01
5668059
AETNA
MN
01
59660VA
BCBS FACILITY #
MN
01
90144935
WAUSAU
MN
Enumeration date
12/28/2007
Last updated
12/28/2007
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