Organization
ELEVATED HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID OOMMEN D.C. (DOCTOR/OWNER)
(651) 216-1997
Entity
Organization
Contact information
Practice address
10705 TOWN SQUARE DR NE, STE 220, BLAINE, MN 55449-8184
(651) 216-1997
Mailing address
10705 TOWN SQUARE DR NE, STE 220, BLAINE, MN 55449-8184
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
5551
MN
111NR0400X
Rehabilitation Chiropractor
5551
MN
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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