Organization
COOLEY CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CLARE COOLEY DC (DOCTOR OF CHIROPRACTIC OWNER)
(218) 525-3630
Entity
Organization
Contact information
Practice address
5722 HOMESTEAD RD, DULUTH, MN 55804
(218) 525-3630
(218) 525-3914
Mailing address
5722 HOMESTEAD ROAD, DULUTH, MN 55804
(218) 525-3630
(218) 525-3914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2079
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74407CO
BCBS
MN
Enumeration date
04/12/2007
Last updated
01/24/2011
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