Individual
DR. EZRA CHARLES SCHLOTTHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11919 CENTRAL AVE NE, BLAINE, MN 55434-3911
(763) 757-1660
(763) 757-4108
Mailing address
11919 CENTRAL AVE NE, BLAINE, MN 55434-3911
(763) 757-1660
(763) 757-4108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6143
MN
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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