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Organization

ANGELL CHIROPRACTIC, P.C.

Active
Other names
Le Center Chiropractic & Sports Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRAIG WILLIAM ANGELL D.C. (OWNER)
(507) 357-4404
Entity
Organization

Contact information

Practice address
36 N PARK AVE, LE CENTER, MN 56057-1511
(507) 357-4404
(507) 357-6494
Mailing address
36 N PARK AVE, LE CENTER, MN 56057-1511
(507) 357-4404
(507) 357-6494

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4327
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
902271600
MN
01
C03220
MEDICARE GROUP ID#
MN
Enumeration date
10/26/2007
Last updated
06/15/2015
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