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Individual

DR. MICHAEL STEPHEN ZVONAR III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
11494 BRINK AVE, CHISAGO CITY, MN 55013-9411
(651) 257-3914
(651) 257-3915
Mailing address
11494 BRINK AVE, CHISAGO CITY, MN 55013-9411
(651) 257-3914
(651) 257-3915

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003667
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55P79ZV
BCBS PROVIDER NUMBER
MN
Enumeration date
01/19/2007
Last updated
07/08/2007
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