Individual
DR. ERIC OMDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
213 E 6TH ST, SAINT CHARLES, MN 55972-1403
(507) 932-5696
Mailing address
213 E 6TH ST, SAINT CHARLES, MN 55972-1403
(507) 932-5696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4958
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123D50M
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
05/01/2007
Last updated
02/08/2008
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