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Organization

CLIFF ROAD CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON MANNIE D.C. (CHIROPRACTOR)
(651) 452-2225
Entity
Organization

Contact information

Practice address
4555 ERIN DR STE 210, EAGAN, MN 55122-3334
(651) 452-2225
(651) 686-6871
Mailing address
4555 ERIN DR STE 210, EAGAN, MN 55122-3334
(651) 452-2225
(651) 686-6871

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4553
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
504POCL
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/19/2006
Last updated
08/22/2020
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