Organization
ELY CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MATTSON D.C., C.C.S.P. (PRESIDENT)
(218) 365-4111
Entity
Organization
Contact information
Practice address
247 E CHAPMAN ST, ELY, MN 55731-1428
(218) 365-4111
Mailing address
247 E CHAPMAN ST, ELY, MN 55731-1428
(218) 365-4111
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2841
MN
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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