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Organization

CHIROPRACTIC HEALTH CENTER P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COREY MILBRANDT DC (CFO)
(218) 628-0646
Entity
Organization

Contact information

Practice address
925 E SUPERIOR ST STE 112, DULUTH, MN 55802-2253
(218) 628-0646
(218) 628-1889
Mailing address
925 E SUPERIOR ST STE 112, DULUTH, MN 55802-2253
(218) 628-0646
(218) 628-1889

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
565319300
MN
05
616826400
MN
01
63G93CH
BLUE CROSS GROUP #
MN
Enumeration date
05/09/2007
Last updated
09/28/2023
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