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Organization
ARVIDSON GRAND AVE CHIROPRACTIC
Active
Organization
ARVIDSON GRAND AVE CHIROPRACTIC
Active
Other names
Grand Ave Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG GEORGE ARVIDSON DC (CHIROPRACTOR)
(651) 224-7603
Entity
Organization
Contact information
Practice address
1119 GRAND AVE, SAINT PAUL, MN 55105-2629
(651) 224-7603
(651) 224-2604
Mailing address
1119 GRAND AVE, SAINT PAUL, MN 55105-2629
(651) 224-7603
(651) 224-2604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2049
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23175AR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/14/2007
Last updated
02/14/2008
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