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Individual

DR. RONALD SCOTT MCBRIDE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1751 SE 2ND AVE, SUITE 3, GRAND RAPIDS, MN 55744-2586
(218) 326-2828
(218) 326-2516
Mailing address
1751 SE 2ND AVE, SUITE 3, GRAND RAPIDS, MN 55744-2586
(218) 326-2828
(218) 326-2516

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002981
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3C527MC
BLUE CROSS BLUE SHIELD
MN
05
767326400
MN
01
P00067312
RAILROAD MEDICARE
MN
Enumeration date
11/20/2006
Last updated
05/20/2013
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