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NPI Code Detail

MEDICARE: DR. DOROTHY CAROL SAUNDERS D.C.

MEDICARE: DR. DOROTHY CAROL SAUNDERS D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3823MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127G60TEOTHERMNBCBS PROVIDER #

General Provider Information

NPI Number : 1083637045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOROTHY CAROL SAUNDERS D.C.
Provider Business Mailing Address
First Line : 261 E BROADWAY ST
Second Line : P.O. BOX 962
City : MONTICELLO
State : MN
Zip : 55362-9317
Country : US
Telephone Number : 763-295-0303
Fax Number : 763-295-0303
Provider Business Practice Location Address
First Line : 261 E BROADWAY ST
Second Line :
City : MONTICELLO
State : MN
Zip : 55362-9317
Country : US
Telephone Number : 763-295-0303
Fax Number : 763-295-0303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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