Laura Marie Mudrak in St Paul - Chiropractor
Laura Marie Mudrak - NPI 1366594673
Laura Marie Mudrak is a Chiropractor in St Paul, Minnesota. Laura Marie Mudrak practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Laura Marie Mudrak is 1366594673. The last update date is 2007-07-08.
Laura Marie Mudrak's current location address is 821 Raymond Ave, St Paul, Minnesota. You can contact this provider via phone number 6516905543 and fax number 6512511183. The mailing address for Laura Marie Mudrak is 821 Raymond Ave, St Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Marie Mudrak |
|---|---|
| Address | 821 Raymond Ave, St Paul, Minnesota |
| Phone Number | 6516905543 |
| Fax Number | 6512511183 |
| Sole Proprietor | N |
| Credentials | DC LAC |
NPI Number Detail
| NPI Number | 1366594673 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 821 Raymond Ave |
|---|---|
| City | St Paul |
| State | Minnesota (MN) |
| Post Code | 55114 |
| Phone Number | 6516905543 |
| Fax Number | 6512511183 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3109 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique 10-digit identification code issued to Laura Marie Mudrak by the Centers for Medicare & Medicaid Services?
The Laura Marie Mudrak has been assigned the NPI (National Provider Identifier) 1366594673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Laura Marie Mudrak's facilities are geographically located?
The facilities of Laura Marie Mudrak are physically situated at the following location: 821 Raymond Ave, St Paul, MN, 55114.
What is Laura Marie Mudrak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Laura Marie Mudrak's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date was the 1366594673 assigned to Laura Marie Mudrak?
The Laura Marie Mudrak was issued its 1366594673 on 2007-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Laura Marie Mudrak's details last updated?
The information pertaining to the Laura Marie Mudrak, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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