Individual
PAUL M MITTENESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
702 HIGHWAY 75 S, WHEATON, MN 56296-9415
(320) 563-4130
(320) 563-8744
Mailing address
702 HIGHWAY 75 S, WHEATON, MN 56296-9415
(320) 563-4130
(320) 563-8744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1696
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C936MI
BLUECROSS BLUESHIELD
MN
01
—
607056
CHIRO CARE OF MN
MN
05
—
782327400
—
MN
Enumeration date
05/25/2006
Last updated
08/22/2013
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