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Randall Edward Pederson, DC
Chiropractor in Glenwood, Minnesota
NPI 1114094182

Randall Edward Pederson is a Chiropractor based in Glenwood, MN. Randall Edward Pederson practices in Glenwood, MN and has the professional credentials of DC. The NPI Number for Randall Edward Pederson is 1114094182 and holds a License No. 1828 (Minnesota).

The current practice location address for Randall Edward Pederson is 131 Minnesota Ave E, Glenwood, MN and can be reached out via phone at 320-634-4737 and via fax at 320-634-4737.

Location: 131 Minnesota Ave E, Glenwood, MN, 56334-1627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114094182
Provider Name
Randall Edward Pederson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
131 Minnesota Ave E, Glenwood, MN, 56334-1627
Phone Number
320-634-4737
Fax Number
320-634-4737
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1C090PE 01 MN BCBS IPN
49316PE 01 MN BCBS MPIN
institution
Provider Business Practice Location Address Details
Address
131 Minnesota Ave E
City
Glenwood
State
Minnesota
Zip
56334-1627
Phone Number
320-634-4737
Fax Number
320-634-4737
person
Provider Business Mailing Address Details
Address
131 Minnesota Ave E
City
Glenwood
State
Minnesota
Zip
56334-1627
Phone Number
320-634-4737
Fax Number
320-634-4737
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1828 (Minnesota)
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 interrelationship with other body systems.
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