Organization
ANGELA R. RENNER, D.C., P.A.
Active
Other names
Northland Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA RENE RENNER D.C. (PRESIDENT)
(218) 741-1888
Entity
Organization
Contact information
Practice address
603 8TH ST N, VIRGINIA, MN 55792-2331
(218) 741-1888
(218) 741-4888
Mailing address
603 8TH ST N, PO BOX 1014, VIRGINIA, MN 55792-2331
(218) 741-1888
(218) 741-4888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4701
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221092400
MHCP PROVIDER NUMBER
MN
01
—
276P6RE
PARTICIPATING BCBS PROV #
MN
Enumeration date
06/02/2006
Last updated
12/22/2008
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