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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