Organization
DR. PAUL C DEGLMANN DC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL CHARLES DEGLMANN DC (OWNER/PRESIDENT)
(952) 833-3038
Entity
Organization
Contact information
Practice address
6805 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN 55344
(952) 833-3038
(952) 833-3040
Mailing address
6805 FLYING CLOUD DRIVE, EDEN PRAIRIE, MN 55344
(952) 833-3038
(952) 833-3040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52OL7DR
BCBS GROUP
MN
Enumeration date
04/24/2007
Last updated
10/28/2010
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