Individual
DR. DANIEL BEAU RYAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9 125 LANE NW, COON RAPIDS, MN 55448
(612) 860-6832
Mailing address
9125 LANE NW, COON RAPIDS, MN 55448
(612) 860-6832
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27750
CA
111N00000X
Chiropractor
3526
MN
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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