Individual
JOANN BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
403 JACKSON ST STE 307, ANOKA, MN 55303-1898
(763) 427-4597
Mailing address
403 JACKSON ST STE 307, ANOKA, MN 55303-1898
(763) 427-4597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
04277
IA
111N00000X
Chiropractor
Primary
1734
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52055BA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/31/2006
Last updated
07/08/2007
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