Individual
SALLY ELIZABETH STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1026 7TH AVE, TWO HARBORS, MN 55616-1149
(218) 834-3100
(218) 834-3173
Mailing address
1026 7TH AVE, TWO HARBORS, MN 55616-1149
(218) 834-3100
(218) 834-3173
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2096
MN
Other
Enumeration date
02/01/2007
Last updated
07/09/2007
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