Organization
FORTE CHIROPRACTIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L. FORTE DC (PRESIDENT)
(612) 670-5790
Entity
Organization
Contact information
Practice address
6642 PENN AVE S, RICHFIELD, MN 55423-2026
(612) 670-5790
(612) 861-2752
Mailing address
6642 PENN AVE S, RICHFIELD, MN 55423-2026
(612) 670-5790
(612) 861-2752
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69D51FO
BCBS CLINIC NUMBER
MN
Enumeration date
09/20/2006
Last updated
08/22/2020
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