Organization
ESSENTIAL CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE M GRAVESEN DC (VICE PRESIDENT/OWNER)
(651) 388-8113
Entity
Organization
Contact information
Practice address
437 MAIN ST, RED WING, MN 55066-2324
(651) 388-8113
(651) 388-8114
Mailing address
437 MAIN ST, RED WING, MN 55066-2324
(651) 388-8113
(651) 388-8114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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