Organization
SAWTOOTH CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALIN ELISABETH ASEBY-GESCH DC (PRESIDENT)
(218) 387-2383
Entity
Organization
Contact information
Practice address
501 W 5TH ST, GRAND MARAIS, MN 55604
(218) 387-2383
(218) 387-2383
Mailing address
PO BOX 158, GRAND MARAIS, MN 55604-0158
(218) 387-2383
(218) 387-2383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
723
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538269675
NPI INDIVIDUAL
MN
01
—
29G38SA
BC/BS OF MN BUSINESS
MN
01
—
29G39GE
BC/BS OF MN INDIVIDUAL
MN
01
—
350051297
MEDICARE RAILROAD
MN
05
—
3570193-00
—
MN
Enumeration date
03/03/2009
Last updated
04/02/2012
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