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Organization
DAVIS CHIROPRACTIC HEALTH & WELLNESS, P.A
Active
Organization
DAVIS CHIROPRACTIC HEALTH & WELLNESS, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN J DAVIS D.C (OWNER/PRESIDENT)
(218) 326-1804
Entity
Organization
Contact information
Practice address
204 NW 5TH ST, GRAND RAPIDS, MN 55744-2607
(218) 326-1804
(218) 999-7660
Mailing address
204 NW 5TH ST, GRAND RAPIDS, MN 55744-2607
(218) 326-1804
(218) 999-7660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4109
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851408033
INDIVIDUAL NPI
MN
Enumeration date
09/20/2007
Last updated
03/19/2014
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