Individual
NELS PETER HAUGEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
206 7TH ST W, NORTHFIELD, MN 55057-2419
(507) 663-1271
(507) 663-1273
Mailing address
206 7TH ST W, NORTHFIELD, MN 55057-2419
(507) 663-1271
(507) 663-1273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2343
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64106HA
BLUE CROSS BLUE SHIELD
MN
05
—
729227900
—
MN
Enumeration date
07/21/2005
Last updated
05/16/2016
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