Organization
REBROVICH AND WHALEN CHIROPRACTIC, LTD.
Active
Other names
Ideal Health, A Sports & Family Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA LYNN REBROVICH D.C. (PRESIDENT)
(763) 441-0999
Entity
Organization
Contact information
Practice address
18336 JOPLIN ST NW, ELK RIVER, MN 55330-1773
(763) 441-0999
(763) 441-3888
Mailing address
18336 JOPLIN ST NW, ELK RIVER, MN 55330-1773
(763) 441-0999
(763) 441-3888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
478
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49D93ID
BCBS
MN
Enumeration date
01/26/2007
Last updated
08/22/2020
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