Organization
LANGFORD CHIROPRACTIC , PA
Active
Other names
Willow Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN OBERLE (BUSINESS MANAGER)
(651) 699-8610
Entity
Organization
Contact information
Practice address
730 CLEVELAND AVE S, SAINT PAUL, MN 55116-1345
(651) 699-8610
(651) 699-1207
Mailing address
730 CLEVELAND AVE S, SAINT PAUL, MN 55116-1345
(651) 699-8610
(651) 699-1207
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C385LA
BLUECROSS BLUESHIELD
MN
05
—
921493300
—
MN
Enumeration date
07/28/2006
Last updated
12/18/2024
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