Organization
PREMIER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETCHEN BLAUFUSS SKALICKY DC (PRESIDENT)
(320) 629-8070
Entity
Organization
Contact information
Practice address
510 2ND ST SE, PINE CITY, MN 55063-1706
(320) 629-8070
Mailing address
510 2ND ST SE, PINE CITY, MN 55063-1706
(320) 629-8070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5886
MN
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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