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Organization

GRANITE CITY CHIROPRACTIC, INC

Active
Find providers by NPI
Organization

GRANITE CITY CHIROPRACTIC, INC

Active
Other names
New Richland Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND W MIELKE DC (PRESIDENT)
(507) 463-3811
Entity
Organization

Contact information

Practice address
131 SOUTH BROADWAY, NEW RICHLAND, MN 56072
(507) 463-3811
(507) 463-3812
Mailing address
PO BOX 441, NEW RICHLAND, MN 56072-0441
(507) 463-3811
(507) 463-3812

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1496
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3KO36GR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/05/2006
Last updated
11/18/2014
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