Organization
CHRISTOPHER R. LARSON, D.C., P.A.
Active
Other names
Back In Shape Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER R. LARSON D.C. (PRESIDENT)
(763) 595-9096
Entity
Organization
Contact information
Practice address
669 WINNETKA AVE N, SUITE 202, GOLDEN VALLEY, MN 55427-4574
(763) 595-9096
Mailing address
20843 GRANADA AVENUE CT N, FOREST LAKE, MN 55025-8151
(651) 270-8427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3816
MN
Other
Enumeration date
11/15/2006
Last updated
08/28/2007
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