Organization
MUSTANG CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH A WORKMAN DC (OWNER)
(612) 760-4555
Entity
Organization
Contact information
Practice address
11500 HIGHWAY 7, SUITE 201, MINNETONKA, MN 55305-5173
(612) 760-4555
(952) 933-2673
Mailing address
11500 HIGHWAY 7, SUITE 201, MINNETONKA, MN 55305-5173
(612) 760-4555
(952) 933-2673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC3629
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01B13MU
BCBS GROUP#
—
01
—
01B14WO
BCBS ID#
—
01
—
1790838332
INDIVIDUAL NPI#
—
01
—
562
HSM ID#
—
01
—
DC3629
MN STATE LIC#
MN
01
—
V73159
UPIN#
—
Enumeration date
10/25/2007
Last updated
10/25/2007
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