Organization
AUDETTE CHIROPRACTIC CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE ANN AUDETTE D.C. (OWNER)
(218) 624-5759
Entity
Organization
Contact information
Practice address
438 N 57TH AVE W, DULUTH, MN 55807-3723
(218) 624-5759
(218) 624-4668
Mailing address
438 N 57TH AVE W, DULUTH, MN 55807-3723
(218) 624-5759
(218) 624-4668
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2105
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06720AU
BCBS MN
MN
Enumeration date
12/13/2006
Last updated
12/17/2007
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