Individual
DR. KRISTA ANN BLOMDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
203 PARK AVE S STE 101, SAINT CLOUD, MN 56301-6146
(320) 253-5659
Mailing address
203 PARK AVE S STE 101, SAINT CLOUD, MN 56301-6146
(320) 253-5659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6186
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073817169
—
MN
05
—
1407832512
—
MN
05
—
1578541843
—
MN
05
—
1851378376
—
MN
Enumeration date
01/12/2016
Last updated
04/25/2017
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