Individual
JOAN M BLONIGAN CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1101 S 1ST STREET, WILLMAR, MN 56201
(320) 235-0515
Mailing address
1101 S 1ST STREET, WILLMAR, MN 56201
(320) 235-0515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2107
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3M186CH
BCBS
—
Enumeration date
08/15/2007
Last updated
08/15/2007
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