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Organization
GREATLAKES INJURY CENTER
Active
Organization
GREATLAKES INJURY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT CAMERON CLOSE DC (PRESIDENT/CHIROPRACTOR)
(218) 454-1390
Entity
Organization
Contact information
Practice address
7217 EXCELSIOR RD STE 105, BAXTER, MN 56425-8657
(218) 330-7873
Mailing address
7217 EXCELSIOR RD STE 105, BAXTER, MN 56425-8657
(218) 454-1390
(218) 454-1391
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447644257
NPI
—
Enumeration date
11/30/2018
Last updated
12/05/2018
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