Organization
ARVIDSON GRAND AVE CHIROPRACTIC
Active
Other names
Grand Ave Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG GEORGE ARVIDSON DC (CHIROPRACTOR)
(651) 224-7603
Entity
Organization
Contact information
Practice address
1119 GRAND AVE, SAINT PAUL, MN 55105-2629
(651) 224-7603
(651) 224-2604
Mailing address
1119 GRAND AVE, SAINT PAUL, MN 55105-2629
(651) 224-7603
(651) 224-2604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2049
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23175AR
BLUE CROSS BLUE SHIELD
MN
Enumeration date
02/14/2007
Last updated
02/14/2008
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