Organization
NESSETH CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GENE NESSETH D.C. (PRESIDENT)
(320) 286-6336
Entity
Organization
Contact information
Practice address
235 BROADWAY AVE S, COKATO, MN 55321-4681
(320) 286-6336
(320) 286-6337
Mailing address
PO BOX 818, COKATO, MN 55321-0818
(320) 286-6336
(320) 286-6337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051215003
PRIME WEST
MN
01
—
19960NE
BCBS
MN
05
—
218659400
—
MN
Enumeration date
03/08/2007
Last updated
12/08/2021
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