Individual
DR. NANCY A. MARIHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2479 E. COUNTY RD. E, WHITE BEAR LAKE, MN 55110
(651) 770-5433
Mailing address
8725 WENTWORTH AVE S, BLOOMINGTON, MN 55420-2831
(952) 885-9697
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4228
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209J1FO
BCBS-CLINIC ID
MN
01
—
210J0MA
BCBS-PROVIDER ID
MN
Enumeration date
11/08/2006
Last updated
07/08/2007
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