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Organization

HEALTH FIRST CHIROPRACTIC OF BAXTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD LEE PROUTY D.C. (OWNER)
(218) 829-8414
Entity
Organization

Contact information

Practice address
14213 GOLF COURSE DRIVE SUITE 105, BAXTER, MN 56425
(218) 829-8414
(218) 828-2005
Mailing address
14213 GOLF COURSE DRIVE SUITE 105, BAXTER, MN 56425
(218) 829-8414
(218) 828-2005

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44G66HE
BCBS
MN
01
CJ6081
RR MEDICARE
MN
Enumeration date
12/12/2006
Last updated
07/21/2022
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