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Organization

CHIROPRACTIC HEALTH SERVICE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYLE CHARLES COLEMAN D.C., DIBCN (PRESIDENT)
(507) 451-1654
Entity
Organization

Contact information

Practice address
207 W HOLLY ST, OWATONNA, MN 55060-3959
(507) 451-1654
(507) 451-1655
Mailing address
207 W HOLLY ST, OWATONNA, MN 55060-3959
(507) 451-1654
(507) 451-1655

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
23
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35034CH
BLUE CROSS OFFICE NUMBER
MN
Enumeration date
09/13/2006
Last updated
04/07/2010
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