Organization
CORNERSTONE WELLNESS CENTER OF ST.PETER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JOHN MOORE D.C. (CEO)
(507) 934-4850
Entity
Organization
Contact information
Practice address
220 W BROADWAY AVE, SAINT PETER, MN 56082-2036
(507) 934-4850
Mailing address
220 W BROADWAY AVE, SAINT PETER, MN 56082-2036
(507) 934-4850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69D70CO
BLUE CROSS
MN
Enumeration date
11/13/2006
Last updated
04/11/2008
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