Organization
RED RIVER FAMILY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY ROBERT THOMSEN DC (PRESIDENT/OWNER)
(701) 746-8636
Entity
Organization
Contact information
Practice address
2534 17TH AVE S, SUITE 2D, GRAND FORKS, ND 58201-5215
(701) 746-8636
(701) 746-8827
Mailing address
PO BOX 12875, GRAND FORKS, ND 58208-2875
(701) 746-8636
(701) 746-8827
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
649
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13185
—
ND
Enumeration date
01/18/2008
Last updated
05/19/2015
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