Boline Fenstra Chiropractic PC
Chiropractor in Willmar, MN. Organization (NPI-2).
NPI number1003075615
StatusActive
Last updated in NPPESJun 19, 2015
Details
- NPI
- 1003075615
- Entity type
- Organization (NPI-2)
- Legal business name
- Boline Fenstra Chiropractic PC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2008
- Last updated
- Jun 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3122 | MN | Yes |
Other names
- Boline Fenstra Chiropractic PC (Doing Business As)
Practice location
1101 1st St SWillmar, MN 56201-3592
Phone 320-235-0515
Mailing address
1101 1st St SWillmar, MN 56201-3592
Phone 320-235-0515
Authorized official
Kendall A Boline Fenstra
Owner
3202350515
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All 30 Chiropractor providers in Willmar · All 1,000 providers in Willmar
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