Individual
DR. PATRICK JOHN MCGRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1154 GRAND AVENUE, ST. PAUL, MN 55105
(651) 228-9000
(651) 224-2806
Mailing address
1154 GRAND AVENUE, ST. PAUL, MN 55105
(651) 228-9000
(651) 224-2806
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3005
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231503
ACN GROUP PROVIDER ID
MN
01
—
3C123MC
BC/BS-INDIVIDUAL
MN
Enumeration date
10/05/2006
Last updated
07/08/2007
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