Organization
CORNERSTONE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CON BYMERS D.C. (OWNER)
(320) 762-2639
Entity
Organization
Contact information
Practice address
507 N NOKOMIS ST, STE 202, ALEXANDRIA, MN 56308-2352
(320) 762-2639
(320) 762-2650
Mailing address
507 N NOKOMIS ST, STE 202, ALEXANDRIA, MN 56308-2352
(320) 762-2639
(320) 762-2650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4167
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03072202
PRIMEWEST
MN
01
—
493R7C0
BLUECROSS BLUESHIELD
MN
01
—
DD5201
RAILROAD MEDICARE
MN
Enumeration date
09/28/2007
Last updated
09/28/2007
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