Organization
HEAVEN'S GATE CHIROPRACTIC, PC
Active
Other names
Dr. Kroll's Health Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ANTHONY KROLL DC (OWNER)
(651) 388-4378
Entity
Organization
Contact information
Practice address
305 BUSH ST, RED WING, MN 55066-2527
(651) 388-4378
(651) 388-4385
Mailing address
305 BUSH ST, RED WING, MN 55066-2527
(651) 388-4378
(651) 388-4385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MN2593
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382R1HE
BLUE CROSS BLUE SHIELD
MN
05
—
843828500
—
MN
Enumeration date
04/12/2007
Last updated
12/14/2011
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