Organization
FARMINGTON CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE GLIVA (OWNER)
(651) 463-7662
Entity
Organization
Contact information
Practice address
115 ELM ST STE F, FARMINGTON, MN 55024-1031
(651) 463-7662
Mailing address
115 ELM ST STE F, FARMINGTON, MN 55024-1031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2830
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C526FA
BLUECROSSBLUESHIELD
MN
Enumeration date
04/25/2007
Last updated
11/13/2007
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