Organization
LANDRY CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ALBERT LANDRY D.C. (CHIROPRACTOR)
(612) 702-9012
Entity
Organization
Contact information
Practice address
19449 EVANS ST NW, SUITE A, ELK RIVER, MN 55330-1074
(612) 702-9012
(736) 633-0039
Mailing address
19449 EVANS ST NW, SUITE A, ELK RIVER, MN 55330-1074
(612) 702-9012
(736) 633-0039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3805
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4487073
MEDICA ID.
MN
01
—
45D48LA
BCBS PIN
MN
01
—
94631
HEALTH PARTNERS ID.
MN
Enumeration date
07/31/2007
Last updated
07/31/2007
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