Organization
CHIROPRACTIC HEALTH CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL D MARQUIS D.C. (PRESIDENT)
(218) 435-6066
Entity
Organization
Contact information
Practice address
106 1ST ST W, FOSSTON, MN 56542-1213
(218) 435-6066
(218) 435-6061
Mailing address
106 1ST ST W, FOSSTON, MN 56542-1213
(218) 435-6066
(218) 435-6061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C421CH
BLUECROSS BLUESHIELD OF MINNESOTA
MN
Enumeration date
05/01/2008
Last updated
05/01/2008
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