Organization
BRIDGEVIEW CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS KINNEY HANSON D.C. (PRESIDENT)
(651) 430-3229
Entity
Organization
Contact information
Practice address
13481 60TH ST N STE 300, STILLWATER, MN 55082-1089
(651) 430-3229
Mailing address
13481 60TH ST N STE 300, STILLWATER, MN 55082-1089
(651) 430-3229
(651) 430-3265
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4310
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54M62HA
BCBS
MN
Enumeration date
10/19/2006
Last updated
10/24/2019
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