Organization
GREAT LAKES INJURY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CAMERON CLOSE DC (OWNER/CHIROPRACTOR)
(218) 454-1390
Entity
Organization
Contact information
Practice address
7217 EXCELSIOR RD STE 105, BAXTER, MN 56425-8657
(218) 454-1390
(218) 454-1391
Mailing address
7217 EXCELSIOR RD STE 105, BAXTER, MN 56425-8657
(218) 454-1390
(218) 454-1391
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3492
MN
Other
Enumeration date
03/19/2015
Last updated
02/14/2019
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