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Organization

COMPLETE CHIROPRACTIC HEALTH SERVICES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL JAMES HAFNER D.C. (PRESIDENT)
(651) 690-9366
Entity
Organization

Contact information

Practice address
1526 GRAND AVE, ST. PAUL, MN 55105
(651) 690-9366
Mailing address
1526 GRAND AVE, ST. PAUL, MN 55105
(651) 690-9366

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27377RE
BCBS CLINIC NUMBER
MN
05
939273400
MN
Enumeration date
12/06/2006
Last updated
03/03/2010
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