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Individual

DR. ROBERT MATTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC CCSP

Contact information

Practice address
247 E CHAPMAN ST, ELY, MN 55731-1428
(218) 365-4111
Mailing address
247 E CHAPMAN ST, ELY, MN 55731-1428
(218) 365-4111

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2841
MN

Other

Enumeration date
06/04/2007
Last updated
07/08/2007
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