Organization
CHIROPRACTIC HEALTH CARE OF ST. PAUL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN GRUNBERG (PRESIDENT)
(651) 293-9200
Entity
Organization
Contact information
Practice address
1386 7TH ST W, SAINT PAUL, MN 55102-4206
(651) 293-9200
Mailing address
1386 7TH ST W, SAINT PAUL, MN 55102-4206
(651) 293-9200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06070GR
BCBSM
MN
Enumeration date
01/17/2007
Last updated
08/01/2008
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