| Jill M Braaten, DC | |
|
750 1st Street South, Suite 103, Waite Park, MN 56387 | |
| (320) 240-6561 | |
| Not Available |
| Full Name | Jill M Braaten |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 750 1st Street South, Waite Park, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891972584 | NPI | - | NPPES |
| 350004055 | Other | MN | MEDICARE PTAN |
| 36M21BR | Other | MN | BLUE CROSS BLUE SHIELD PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4986 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jill M Braaten, DC 750 1st Street South, Suite 103, Waite Park, MN 56387 Ph: (320) 240-6561 | Jill M Braaten, DC 750 1st Street South, Suite 103, Waite Park, MN 56387 Ph: (320) 240-6561 |
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