Organization
ST CLOUD CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS ALAN WOGGON DC (CHIROPRACTOR)
(320) 252-5599
Entity
Organization
Contact information
Practice address
437 33RD AVE N, SAINT CLOUD, MN 56303-4846
(320) 252-5599
(320) 253-4585
Mailing address
437 33RD AVE N, SAINT CLOUD, MN 56303-4846
(320) 252-5599
(320) 253-4585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55417CL
BLUE CROSS
MN
Enumeration date
04/17/2007
Last updated
08/22/2020
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