Organization
PREMIER HEALTH OF PLYMOUTH LTD
Active
Other names
Premier Health of Golden Valley
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DAVID CHMIEL DC (OWNER)
(763) 354-7880
Entity
Organization
Contact information
Practice address
5801 DULUTH ST STE 345, GOLDEN VALLEY, MN 55422-3952
(763) 354-7880
(763) 354-7882
Mailing address
5801 DULUTH ST STE 345, GOLDEN VALLEY, MN 55422-3952
(763) 354-7880
(763) 354-7882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5191
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306170618
BCBS
MN
01
—
1306170618
NPI FOR MANAGING DOCTOR
—
05
—
1306170618
—
MN
Enumeration date
08/30/2011
Last updated
11/23/2020
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