Individual
DR. FREDERICK ASHLEY CLARY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1752 LEXINGTON AVE N, ROSEVILLE, MN 55113-6516
(651) 487-5950
(651) 487-6016
Mailing address
1752 LEXINGTON AVE N, ROSEVILLE, MN 55113-6516
(651) 487-5950
(651) 487-6016
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
2898
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02B04AD
BLUECROSS BLUESHIELD
MN
Enumeration date
04/03/2006
Last updated
07/08/2007
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