Organization
THE WALTON CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC GORDON KOEHLER D.C. (PRESIDENT)
(651) 442-1731
Entity
Organization
Contact information
Practice address
6264 BOONE AVE N, BROOKLYN PARK, MN 55428-2729
(651) 442-1731
Mailing address
6264 BOONE AVE N, BROOKLYN PARK, MN 55428-2729
(651) 442-1731
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1099
MN
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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