Organization
CREST CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C RAWLINGS DC (OWNER)
(651) 776-7100
Entity
Organization
Contact information
Practice address
1497 WHITE BEAR AVE N, SAINT PAUL, MN 55106-2414
(651) 776-7100
(651) 776-2415
Mailing address
1497 WHITE BEAR AVE N, SAINT PAUL, MN 55106-2414
(651) 776-7100
(651) 776-2415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1368
MN
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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