Individual
MS. NIKOLE M. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4951 80TH STREET WEST, BLOOMINGTON, MN 55437-1189
(952) 842-8105
Mailing address
4951 80TH STREET WEST, BLOOMINGTON, MN 55437-1189
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4595
MN
111N00000X
Chiropractor
Primary
784
ND
Other
Enumeration date
09/25/2006
Last updated
10/01/2007
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