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Individual

DR. LOREN CRAIG STOCKTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
12400 PILLSBURY AVE S, 1, BURNSVILLE, MN 55337-3835
(952) 890-9055
(952) 890-7515
Mailing address
12400 PILLSBURY AVE S, BURNSVILLE, MN 55337-3835
(952) 890-9055
(952) 890-7515

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1862
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28713ST
BCBS
MN
Enumeration date
09/16/2006
Last updated
07/08/2007
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