Organization
SISTER ROSALIND GEFRE SCHOOLS & CLINIC OF MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACINDA DAWN HANSON (BILLING SPECIALISTS)
(651) 554-3013
Entity
Organization
Contact information
Practice address
2145 FORD PARKWAY, STE 20, ST. PAUL, MN 55116
(651) 698-9123
(651) 698-7436
Mailing address
149 THOMPSON AVE E, STE 160, SAINT PAUL, MN 55118-3238
(651) 554-3013
(651) 554-7608
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40F41SI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
05/16/2007
Last updated
08/22/2020
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