Organization
EVANS CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN R EVANS D.C. (OWNER)
(959) 929-3602
Entity
Organization
Contact information
Practice address
4010 W 65TH ST, #217, EDINA, MN 55435-1721
(952) 929-3602
(952) 929-4269
Mailing address
4010 W 65TH ST, #217, EDINA, MN 55435-1721
(952) 929-3602
(952) 929-4269
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1306
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22321EV
BCBS
MN
Enumeration date
06/02/2008
Last updated
06/03/2008
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