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NPI Code Detail

MEDICARE: DR. CHRISTIAN JON KOLLAR D.C.

MEDICARE:  DR. CHRISTIAN JON KOLLAR  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
1111N00000XChiropractor4379MN

General Provider Information

NPI Number : 1922004167
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTIAN JON KOLLAR D.C.
Provider Business Mailing Address
First Line : 2216 COUNTY ROAD D W STE B
Second Line :
City : SAINT PAUL
State : MN
Zip : 55112-8505
Country : US
Telephone Number : 651-636-4120
Fax Number : 651-639-1069
Provider Business Practice Location Address
First Line : 2216 COUNTY ROAD D W STE B
Second Line :
City : SAINT PAUL
State : MN
Zip : 55112-8505
Country : US
Telephone Number : 651-636-4120
Fax Number : 651-639-1069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/21/2022

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Directions to “ DR. CHRISTIAN JON KOLLAR D.C.” Practice Location

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