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Individual

DR. BENJAMIN JAMES CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4960 HIGHWAY 12, MAPLE PLAIN, MN 55359-8729
(763) 479-3388
(763) 479-3388
Mailing address
4960 HIGHWAY 12, MAPLE PLAIN, MN 55359
(763) 479-3388
(763) 479-3388

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MN4108
MN

Other

Enumeration date
09/18/2007
Last updated
06/25/2015
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