| Braaten Chiropractic Llc | |
|
750 1st. St. S. Ste 103, Waite Park, MN 56387 | |
| (320) 240-6561 | |
| (320) 240-9331 |
| Full Name | Braaten Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 750 1st. St. S. Ste 103, Waite Park, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609053396 | NPI | - | NPPES |
| 36M20IM | Other | MN | BLUE CROSS BLUE SHIELD GROUP PROVIDER ID |
| C04865 | Other | MN | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4986 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Braaten Chiropractic Llc 750 1st. St. Ste 103, Waite Park, MN 56387 Ph: (320) 240-6561 | Braaten Chiropractic Llc 750 1st. St. S. Ste 103, Waite Park, MN 56387 Ph: (320) 240-6561 |
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