Organization
ANOKA CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARNES PATRICK (PRESIDENT)
(763) 421-1410
Entity
Organization
Contact information
Practice address
646 E RIVER RD, SUITE 2, ANOKA, MN 55303-1884
(763) 421-1410
Mailing address
646 E RIVER RD, SUITE 2, ANOKA, MN 55303-1884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1545
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52060BA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
01/08/2007
Last updated
08/22/2020
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