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Organization

B C OKLAND PC

Active
Other names
Okland Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRYAN OKLAND D.C. (PRESIDENT)
(218) 749-5436
Entity
Organization

Contact information

Practice address
102 1ST ST N, VIRGINIA, MN 55792-2502
(218) 749-5436
(218) 749-2118
Mailing address
102 1ST ST N, VIRGINIA, MN 55792-2502
(218) 749-5436
(218) 749-2118

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4278
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
277M9OK
BCBS GROUP NUMBER
MN
01
278M1OK
BCBS PIN
MN
01
4401492
MEDICA PIN
MN
05
516405200
MN
01
649065
CHIROCARE ID#
MN
Enumeration date
02/09/2007
Last updated
07/21/2010
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