Organization
MCLEOD COUNTY CHIROPRACTIC CENTRE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DAVID ANDERSON D.C. (PRESIDENT)
(320) 587-7400
Entity
Organization
Contact information
Practice address
980 ECHO DR SE, HUTCHINSON, MN 55350-3174
(320) 587-7400
(320) 234-9566
Mailing address
980 ECHO DR SE, HUTCHINSON, MN 55350-3174
(320) 587-7400
(320) 234-9566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1903
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-84225
MEDICA
MN
01
—
4C919MC
BCBS
MN
Enumeration date
12/09/2006
Last updated
08/22/2020
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