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Organization

IHS OF WOODBURY, P.A.

Active
Other names
HealthSource St. Paul
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA ANTHONY KARY D.C (DIRECTOR/OWNER)
(651) 731-1880
Entity
Organization

Contact information

Practice address
1815 SUBURBAN AVE, SAINT PAUL, MN 55119-4302
(651) 731-1880
(651) 739-6029
Mailing address
1815 SUBURBAN AVE, SAINT PAUL, MN 55119-4302
(651) 731-1880
(651) 739-6029

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4486
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
556P8KA
BLUECROSS BLUESHIELD
MN
05
762240600
MN
Enumeration date
09/24/2010
Last updated
09/24/2010
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