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Individual

DR. KEITH R SCHLEPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A. D.C.

Contact information

Practice address
2103 FRONTAGE RD N STE 19, WAITE PARK, MN 56387-1869
(320) 252-2703
(320) 229-2647
Mailing address
2103 FRONTAGE RD N STE 19, WAITE PARK, MN 56387-1869
(320) 493-3529
(320) 229-2647

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4622
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
084908100
DEPT. OF HUMAN SERVICES
MN
01
317P4SC
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
07/26/2006
Last updated
07/08/2007
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