Organization
SCOTT T. GODBERSEN CHIROPRATIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT THEODOR GODBERSEN D.C. (PRESIDENT)
(320) 259-9099
Entity
Organization
Contact information
Practice address
71 10TH AVE S, WAITE PARK, MN 56387-1040
(320) 259-9099
(320) 529-9199
Mailing address
71 10TH AVE S, WAITE PARK, MN 56387-1040
(320) 259-9099
(320) 529-9199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4833
MN
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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