Organization
DEHEN CHIROPRACTIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID DEHEN D.C. (PRESIDENT)
(507) 388-7744
Entity
Organization
Contact information
Practice address
1706 LOR RAY DR, NORTH MANKATO, MN 56003-1939
(507) 388-7744
Mailing address
1706 LOR RAY DR, NORTH MANKATO, MN 56003-1939
(507) 388-7744
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2374
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230189
OTHER
MN
01
—
2D596DE
BCBS
MN
Enumeration date
08/24/2006
Last updated
08/22/2020
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