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Individual

DR. CHRISTOPHER DAVID WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
205 N CHESTNUT ST, SUITE 108, LA CRESCENT, MN 55947
(507) 895-2225
(507) 895-7508
Mailing address
205 N CHESTNUT ST, SUITE 108, LA CRESCENT, MN 55947
(507) 895-2225
(507) 895-7508

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3775012
WI
111N00000X
Chiropractor
Primary
4673
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
072408400
MN MED ASSISTANCE
MN
05
38961500
WI
01
487R1CH
BCBS
MN
Enumeration date
08/02/2006
Last updated
08/21/2013
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