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Organization

RED WING CHIROPRACTIC CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAY MELVIN GREENBERG DC (PRESIDENT)
(651) 388-8294
Entity
Organization

Contact information

Practice address
29218 HIGHWAY 58 BLVD, RED WING, MN 55066-7407
(651) 388-8294
(651) 388-7461
Mailing address
29218 HIGHWAY 58 BLVD, RED WING, MN 55066-7407
(651) 388-8294
(651) 388-7461

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
166
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31374RE
BLUE CROSS BLUE SHIELD
Enumeration date
09/07/2006
Last updated
08/22/2020
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