Individual
DR. CARROLLE ANN ZVONAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
11494 BRINK AVE, CHISAGO CITY, MN 55013-9411
(651) 257-3914
(651) 257-3915
Mailing address
31864 QUINLAN AVE, CENTER CITY, MN 55012-7636
(651) 307-7524
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
002174
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52P45ZV
BCBS PROVIDER NUMBER
MN
05
—
668226000
—
MN
Enumeration date
01/19/2007
Last updated
07/09/2021
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