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Mr. Blaine M Macdonald, DC
Chiropractor in Glencoe, Minnesota
NPI 1194942417

Blaine M Macdonald is a Chiropractor based in Glencoe, MN. Blaine M Macdonald practices in Glencoe, MN and has the professional credentials of DC. The NPI Number for Blaine M Macdonald is 1194942417 and holds a License No. 3343 (Minnesota).

The current practice location address for Blaine M Macdonald is 804 12Th St E, Glencoe, MN and can be reached out via phone at 320-864-7636.

Location: 804 12Th St E, Glencoe, MN, 55336-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194942417
Provider Name
Blaine M Macdonald
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
804 12Th St E, Glencoe, MN, 55336-2203
Phone Number
320-864-7636
Fax Number
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
189K2PE 01 MN GROUP BCBS PROVIDER NUMBE
184R7MA 01 MN BCBS PIN NUMBER
institution
Provider Business Practice Location Address Details
Address
804 12Th St E
City
Glencoe
State
Minnesota
Zip
55336-2203
Phone Number
320-864-7636
Fax Number
person
Provider Business Mailing Address Details
Address
804 12Th St E
City
Glencoe
State
Minnesota
Zip
55336-2203
Phone Number
320-864-7636
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3343 (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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