Organization
CEDAR CHIROPRACTIC SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK HERBST (OWNER)
(507) 727-1700
Entity
Organization
Contact information
Practice address
921 4TH AVE, SUITE 4, WORTHINGTON, MN 56187-2372
(507) 727-1700
Mailing address
51446 110TH ST, LYLE, MN 55953-6691
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3486
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040932400
—
MN
Enumeration date
10/23/2006
Last updated
01/17/2013
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