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Organization

PERFORMANCE HEALTHCARE

Active
Other names
The Center for Chiropractic & Human Performance, LLP
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT THOMAS OSWALD D.C. (CHIROPRACTOR)
(763) 784-3004
Entity
Organization

Contact information

Practice address
10130 DAVENPORT ST NE, SUITE 180, BLAINE, MN 55449-4776
(763) 784-3004
(763) 780-3004
Mailing address
PO BOX 490005, BLAINE, MN 55449-0005
(763) 784-3004
(763) 780-3004

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
03/21/2007
Last updated
11/23/2009
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