Organization
ENDURANCE SPORT AND SPINE, PLLC
Active
Other names
Endurance Sport and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN LARAE SVALESON D.C (OWNER/CHIROPRACTOR)
(701) 412-5040
Entity
Organization
Contact information
Practice address
4500 36TH AVE S, STE 100, FARGO, ND 58104
(701) 412-5040
Mailing address
4500 36TH AVE S, STE 100, FARGO, ND 58104
(701) 412-5040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1482129
—
ND
Enumeration date
11/17/2020
Last updated
06/16/2021
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