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Individual

CHADWICK WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
109 E 2ND AVE, FLANDREAU, SD 57028-1222
(605) 997-3733
Mailing address
109 E 2ND AVE, FLANDREAU, SD 57028-1222
(605) 997-3733

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
851
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46G26WE
BCBSMN PIN
MN
05
7604032
SD
Enumeration date
11/29/2007
Last updated
02/03/2009
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