Individual
DR. CARRIE ELLEN CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3948 W 50TH ST, STE 203, EDINA, MN 55424-1210
(952) 920-4528
(952) 927-4226
Mailing address
9744 WOODRIDGE DR, EDEN PRAIRIE, MN 55347-4249
(612) 382-7408
(952) 927-4226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3928
MN
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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