Organization
BESEMAN CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY ARTHUR BESEMAN II D.C. (CHIROPRACTOR)
(651) 776-3345
Entity
Organization
Contact information
Practice address
1712 SUBURBAN AVE, SAINT PAUL, MN 55106-6632
(651) 776-3345
(651) 778-2347
Mailing address
1712 SUBURBAN AVE, SAINT PAUL, MN 55106-6632
(651) 776-3345
(651) 778-2347
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3030
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350002956
MEDICARE PTAN
MN
01
—
3C030BE
BCBS
MN
01
—
908028700
MN HEALTH CARE
MN
Enumeration date
04/04/2012
Last updated
04/04/2012
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