Individual
DR. DESIREE MARCELINE VAN BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
530 W MAIN ST, SUITE 10, ANOKA, MN 55303-2063
(612) 968-3385
Mailing address
530 W. MAIN STREET, SUITE 10, ANOKA, MN 55303
(612) 968-3385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5197
MN
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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