Organization
GROVELAND CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA ROEDER D.C. (SOLE PROPRIETOR)
(651) 698-2516
Entity
Organization
Contact information
Practice address
2052 SAINT CLAIR AVE, SAINT PAUL, MN 55105-1650
(651) 698-2516
Mailing address
2052 SAINT CLAIR AVE, SAINT PAUL, MN 55105-1650
(651) 698-2516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3353
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22315ES
BCBS
MN
Enumeration date
10/01/2007
Last updated
10/01/2007
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