Individual
SARAH MARIE PICKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
600 E MAIN ST, ANOKA, MN 55303-2527
(763) 421-3722
(763) 421-1476
Mailing address
600 E MAIN ST, ANOKA, MN 55303-2527
(763) 421-3722
(763) 421-1476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468902000
—
MN
01
—
59G79PI
BLUE CROSS BLUE SHIELD
MN
01
—
P00397267
MEDICARE RAILROAD
MN
Enumeration date
10/26/2006
Last updated
02/12/2008
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