Organization
JON M ANDERSON DC, LTD
Active
Other names
Chiropractic Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON MYREN ANDERSON DC (PRESIDENT)
(320) 253-0567
Entity
Organization
Contact information
Practice address
161 19TH ST S, SUITE 101, SARTELL, MN 56377-2153
(320) 253-0567
(320) 253-9968
Mailing address
161 19TH ST S, SUITE 101, SARTELL, MN 56377-2153
(320) 253-0567
(320) 253-9968
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
419
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39P48AN
BLUE CROSS BLUE SHEILD
MN
Enumeration date
07/11/2005
Last updated
09/25/2020
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