Individual
DR. BRIAN J BOEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
210 HIGHWAY AVE, BIRD ISLAND, MN 55310-0169
(320) 365-4635
(320) 365-3237
Mailing address
PO BOX 169, 210 HIGHWAY AVENUE, BIRD ISLAND, MN 55310-0169
(320) 365-4635
(320) 365-3237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3188
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B79BO
BLUE CROSS & BLUE SHIELD
MN
01
—
662670
CHIRO CARE
MN
Enumeration date
07/07/2005
Last updated
07/08/2007
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