| Hultman Lake Enterprises | |
|
805 Main St S Pine City MN 55063-1660 | |
| (320) 629-5288 | |
| Not Available |
| Full Name | Hultman Lake Enterprises |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 805 Main St S, Pine City, Minnesota |
| Authorized Official Name and Position | Joel Blomberg (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Contact | 3206295288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hultman Lake Enterprises 805 Main St S Pine City MN 55063-1660 Ph: (320) 629-5288 | Hultman Lake Enterprises 805 Main St S Pine City MN 55063-1660 Ph: (320) 629-5288 |
| NPI Number | 1093397796 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 04/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093397796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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