Individual
SCOTT ELLWANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1421 WAYZATA BLVD, SUITE 61, WAYZATA, MN 55391-1939
(952) 473-9637
(952) 473-1850
Mailing address
1421 WAYZATA BLVD, SUITE 61, WAYZATA, MN 55391-1939
(952) 473-9637
(952) 473-1850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4885
MN
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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