Organization
T S WATSON DC PA
Active
Other names
Watson Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SELENE WATSON DC (PRESIDENT OWNER)
(612) 521-1386
Entity
Organization
Contact information
Practice address
3107 PENN AVENUE NORTH, MINNEAPOLIS, MN 55411
(612) 521-1386
(612) 521-1926
Mailing address
3107 PENN AVENUE NORTH, MINNEAPOLIS, MN 55411
(612) 521-1386
(612) 521-1926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4266
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229L5WA
BCBS
MN
01
—
97J00
HEALTH PARTNERS
MN
Enumeration date
12/18/2006
Last updated
08/22/2020
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