Organization
BLONIGAN CHRISTIANSON CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M ERICKSON MBA (BUS MANAGER)
(320) 235-0515
Entity
Organization
Contact information
Practice address
1101 S 1ST ST, WILLMAR, MN 56201
(320) 235-0515
Mailing address
1101 S 1ST ST, WILLMAR, MN 56201
(320) 235-0515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2107
MN
111N00000X
Chiropractor
3122
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3C400BO
BCBS INDIVIDUAL #
—
01
—
47039CH
BCBS GROUP #
—
01
—
C07239
MEDICARE GROUP
MN
Enumeration date
02/21/2007
Last updated
01/17/2008
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