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Organization
ALAN ARVIDSON CHIROPRACTIC CLINIC P.A.
Active
Organization
ALAN ARVIDSON CHIROPRACTIC CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN LEE ARVIDSON D.C. (OWNER)
(651) 633-4938
Entity
Organization
Contact information
Practice address
2030 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5301
(651) 633-4938
(651) 633-0355
Mailing address
2030 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5301
(651) 633-4938
(651) 633-0355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001730-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350037740
RAILROAD MEDICARE
GA
Enumeration date
08/05/2010
Last updated
08/05/2010
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