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Individual

PAUL A WESTBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
6425 HIGHWAY 65 NE, FRIDLEY, MN 55432-5128
(763) 571-1345
(763) 571-2291
Mailing address
6425 HIGHWAY 65 NE, FRIDLEY, MN 55432-5128
(763) 571-1345
(763) 571-2291

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2001
MN
171100000X
Acupuncturist
418
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00085179
MN HEALTH
MN
01
1C01WE
BCBS
MN
05
425227600
MN
Enumeration date
08/10/2005
Last updated
09/26/2012
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