Individual
BLAKE CHRISTOPHER LOXTERCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, MS, CSCS
Contact information
Practice address
11311 DAYTON RIVER RD, DAYTON, MN 55327-7500
(612) 314-0268
Mailing address
474 ARROWHEAD DR, LINO LAKES, MN 55014-1402
(320) 309-3388
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6923
MN
Other
Enumeration date
01/01/2022
Last updated
01/01/2022
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