Organization
ANDREW W ULVIN DCPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW WILLIAM ULVIN D.C. (OWNER)
(651) 462-3243
Entity
Organization
Contact information
Practice address
30962 FENWAY AVE N, UNIT 400, STACY, MN 55079-9659
(651) 462-3243
Mailing address
30962 FENWAY AVE N, P.O. BOX 298, STACY, MN 55079-9659
(651) 462-3243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3840
MN
Other
Enumeration date
09/16/2010
Last updated
02/22/2012
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