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Organization

SPICER CHIROPRACTIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TOM PATRICK SPICER DC (OWNER)
(952) 403-1472
Entity
Organization

Contact information

Practice address
1954 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-4308
(952) 403-1472
Mailing address
1954 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-4308
(952) 403-1472

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4654
MN
111NN1001X
Nutrition Chiropractor
4654
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
263P1SP
BCBS
MN
Enumeration date
09/16/2008
Last updated
04/21/2010
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