Individual
DR. DARRELL K METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
304 4TH AVE NE, SUITE 3, WAITE PARK, MN 56387-1236
(320) 251-0766
(320) 251-8295
Mailing address
304 4TH AVE NE, SUITE 3, WAITE PARK, MN 56387-1236
(320) 251-0766
(320) 251-8295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1413
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51F36CO
BCBS GROUP NUMBER
MN
01
—
51F37ME
BCBS PERSONAL ID
MN
Enumeration date
12/11/2006
Last updated
07/08/2007
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