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Organization

SOUTHWEST CHIROPRACTIC AND REHABILITATION SERVICES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT GUSTAFSON DC (OWNER)
(507) 292-7784
Entity
Organization

Contact information

Practice address
2215 2ND ST SW, SUITE 140, ROCHESTER, MN 55902-4147
(507) 292-7784
(507) 226-8079
Mailing address
2215 2ND ST SW, SUITE 140, ROCHESTER, MN 55902-4147
(507) 292-7784
(507) 226-8079

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
3598
MN

Other

Enumeration date
11/14/2011
Last updated
11/14/2011
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