Individual
DR. CARRIE LYNN COLLYARD-GLINSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19242 EVANS ST NW, ELK RIVER, MN 55330-1076
(763) 274-0377
Mailing address
11044 255TH AVE NW, ZIMMERMAN, MN 55398-4578
(763) 856-2828
(763) 633-0366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4090
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52F79CO
BCBS GROUP NUMBER
MN
01
—
52F80CO
BCBS INDIVIDUAL PROV. #
MN
05
—
966407600
—
MN
Enumeration date
05/03/2006
Last updated
12/19/2014
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