Individual
DR. THOMAS DEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
804 FREEPORT AVE NW, SUITE C, ELK RIVER, MN 55330-2632
(763) 441-0644
(763) 441-4263
Mailing address
804 FREEPORT AVE NW, SUITE C, ELK RIVER, MN 55330-2632
(763) 441-0644
(763) 441-4263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4224
MN
Other
Enumeration date
06/12/2006
Last updated
07/22/2009
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