Individual
DR. MICHAEL DANIEL CLANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2423 ALBION AVE, STE 3, FAIRMONT, MN 56031-3302
(507) 235-9595
Mailing address
2423 ALBION AVE, STE 3, FAIRMONT, MN 56031-3302
(507) 235-9595
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2586
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
581328000
—
MN
01
—
59770CH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/26/2007
Last updated
02/26/2019
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