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Organization

CORNERSTONE CHIROPRACTIC & REHABILITATION CLINIC

Active
Other names
Cornerstone Chiropractic & Rehabilitation Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE MARIE GREENMAN D.C. (OWNER)
(763) 544-3066
Entity
Organization

Contact information

Practice address
10850 COUNTY ROAD 15, PLYMOUTH, MN 55441-6103
(763) 544-3066
(763) 542-3950
Mailing address
10850 COUNTY ROAD 15, PLYMOUTH, MN 55441-6103
(763) 544-3066
(763) 542-3950

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC3234
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
221G4CO
BCBS GROUP #
MN
05
822100600
MN
Enumeration date
10/02/2006
Last updated
12/09/2008
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