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RANDALL EDWARD PEDERSON DC
NPI 1114094182
Chiropractor in Glenwood, MN

Active since November 28, 2006
131 MINNESOTA AVE E, GLENWOOD, MN 56334(320) 634-4737(320) 634-4737 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randall Edward Pederson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL EDWARD PEDERSON DC (NPI 1114094182) is an individual chiropractor in Glenwood, Minnesota, licensed in Minnesota (1828) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1114094182
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRANDALL EDWARD PEDERSONCredential: DC
Location Address131 MINNESOTA AVE EGlenwood, MN 56334-1627
Mailing Address131 Minnesota Ave EGlenwood, MN 56334-1627 · (320) 634-4737 · Fax (320) 634-4737
Phone(320) 634-4737
Fax(320) 634-4737
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1114094182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 1828
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.
131 MINNESOTA AVE E, Glenwood, MN 56334
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Other Identifiers 3

Other1C090PEMN · Bcbs Ipn
Other49316PEMN · Bcbs Mpin
Medicare UPINT65976MN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Pederson's NPI number?

The NPI number for Randall Pederson is 1114094182. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Randall Pederson located?

Randall Pederson practices at 131 Minnesota Ave E, Glenwood, MN 56334. The listed phone number is (320) 634-4737.

What is Randall Pederson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Randall Pederson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.